Cardiovascular Dysfunction Flashcards
What are some signs of cardiac dysfunction during H&P?
poor feeding
rapid breathing
difficulty keeping up with friends
What aspects of the mother’s health history could cause cardiac dysfunction in the infant?
diabetes
lupus
phenytoin
alcohol
drugs
infections (rubella)
how does low birth weight affect cardiac function?
increased risk of congenital anomalies
how does high birth weight affect cardiac function?
increased risk of heart disease
what family history might increase risk of cardiac dysfunction?
parents or siblings with heart defects
marfan syndrome
fetal loss
SIDS
Down syndrome
turner syndrome
what nutritional signs might indicate cardiac dysfunction?
failure to thrive
poor weight gain
what skin colours (2) might indicate cardiac dysfunction?
cyanosis = congenital heart defect
pallor = poor perfusion
what does an abnormal chest shape indicate?
enlarged heart
what are some respiratory signs of cardiac dysfunction?
tachypnea
dyspnea
expiratory grunt
clubbing is associated with ________
cyanosis
upon inspection, what signs might indicate cardiac dysfunction?
failure to thrive
poor weight gain
cyanosis
pallor
abnormal chest shape
tachypnea
dyspnea
expiratory grunt
visible neck vein pulsations
clubbing
upon palpation, what signs might indicate cardiac dysfunction?
thrills (chest)
hepatomegaly
splenomegaly
upon auscultation, what signs might indicate cardiac dysfunction?
tachycardia
bradycardia
irregular rhythms
murmurs
extra sounds
What are the diagnostic tests for cardiac dysfunction?
chest x-ray
ECG
echocardiography
cardiac catheterization
exercise stress test
What does a chest x-ray show?
heart size
blood flow
What does an ECG show?
electrical activity
detect dysrhythmias
What does na echocardiogram show?
cardiac structures
what does cardiac catheterization measure?
pressure and oxygen in heart chambers
cardiac structures
blood flow
what does an exercise stress test measure?
HR, BP, ECG and O2 consumption at rest and during exercise
what are the 2 types of cardiac defects?
- congenital heart disease
- acquired
what is congenital heart disease?
anatomical, abnormal function
what is the cause of congenital heart disease?
unknown
what is congenital heart disease associated with?
chromosomal abnormalities
Trisomy 21, 13, and 18
what is the most common anomaly with congenital heart disease?
ventricular septal defect