Cardiac Emergencies in Children

Question 1

Shock in a child - important thing to remember:

Answer 1

BP is the last thing to go - so even though BP is ok perfusions, CO and all that jazz has already gone out the window.

Question 2

Avoid O2 if left side obstruction why?

Answer 2

bc high inspirted O2 causes some reaction that causes the PDA (patent ductus arteriosus) to close

-would use some low level O2 SAT is low and see how much it helps…

Question 3

Why use nitric oxide?

Answer 3

• relax pulmonary arterioles to encourage more pulm blood flow
• no effect on ductus arteriosus

Question 4

SVT long term therapy - meds and surgical:

Answer 4

• beta blocker
• digoxin - slows conduction through AV node
• CCB
• amiodarone - big gun with a lot of side effects

-ablation procedure

Question 5

In What situation do we see a rare complete heart block in a newborn?

Answer 5

if the mom has lupus - autoantibody

Question 6

most comon non-bloody pericardial effusion due to?

Answer 6

-post-pericardiotomy syndome

Question 7

you hear a rub its probably not?

Answer 7

-NOT CARDIAC TAMPONADE (A LOT OF FLUID PROBABLY NO RUB)

Question 8

BT shunt murmur?

Answer 8

Continuous murmur!