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Flashcards in Tetralogy of Fallot Deck (10)
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1
Q

What are the 4 components with tetralogy of fallot?

A

right ventricular hypertrophy, pulmonic stenosis (causing right ventricular outflow obstruction), ventricular septal defect, overriding aorta

2
Q

Is tetrology of fallot a cyanotic or acyanotic disease?

A

cyanotic

3
Q

How old are these patients when they present with cyanosis from tet of fallot?

A

2-10 days

4
Q

What will be heard on auscultation?

A

single second heart sound, systolic ejection murmur at left upper sternal border (maybe radiating to the back)

5
Q

What are some other associations with tet of fallot?

A

cleft palate, hypospadias, skeletal malformations

6
Q

Does oxygen improve this cyanosis?

A

no

7
Q

What test can be done to check for tet of fallot?

A

Hyperoxia test–give 100% FiO2 for 10 minutes then get ABG…if paO2 is

8
Q

What is immediate tx for tet of fallot?

A

give prostaglandin E1 to open the ductus

9
Q

What can be done to treat tet of fallot until a full surgical repair can be done?

A

temporize with Blalock-Taussig shunt (BT shunt)

10
Q

What is the most appropriate tx for a tet spell?

A

beta blocker