Cardiac Nursing Assessment

Question 1

Children with congenital heart disease may have
very specific nursing requirements.

Such as….

Answer 1

• Oxygen
• ECG
• Pre and post ductal saturations
• Inotropes
• Feeding
• Diuretics

Question 2

How to calculate Cardiac Output

Answer 2

HR X SV = CO

• Cardiac output is the volume pumped out from the
  left ventricle over 1 minute
• Stroke volume is the volume of blood pumped out of the
  left ventricle in one beat
• Heart rate is how many beats per minute occur.

Question 3

When may you get out of a norm heart rhythm/ readings

Answer 3

• Congenital heart disease
• Acquired heart disease
• Inherited heart disease
• Arrhythmias
• Valve disease
• Atherosclerosis

Question 4

Categorising CHD

Cyanotic Heart defects

Answer 4

Decreased pulmonary flow
♥ TOF
♥ Tricuspid Atresia

Mixed blood flow
♥ Transposition of the great arteries
♥ TAPVD
♥ HLHS
♥ Truncus Arteriosis

Question 5

Categorising CHD

Acyanotic Heart Defects

Answer 5

Left to Right shunt lesions
♥ VSD
♥ ASD
♥ AVSD
♥ PDA

Obstruction to blood flow from Ventricles
♥ Pulmonary stenosis/Atresia
♥ Aortic Stenosis/Atresia
♥ Coarctation of Aorta

Question 6

How can you diagnose Acyanotic heart defects

Answer 6

Auscultation- hearing using stethoscope
Echocardiogram
ECG

Question 7

Diagnosing, Treating and Monitoring Cyanotic HD

Answer 7

Diagnosing
* Echo/echocardiogram

Treating(for the doctor)
* Surgery
* Medicine

Monitoring
* O2 saturation

Question 8

Whats cyanotic HD

Answer 8

Baby is blue
This can occur near the eyes and the lips