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Peds > Cardiovascular Dysfunction > Flashcards

Cardiovascular Dysfunction Flashcards

1
Q

How the does the ductus arteriosus close

A

from oxygen cause vasoconstriction

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2
Q

When is the functional closure of the ductus arteriosus suppose to happen

A

48-72 hours

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3
Q

About when will the anatomical closure of ductus arteriosus happen

A

10-21 days

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4
Q

What is an conplication of a ductus arteriosus that stays open too long and why

A

pulmonary edema resulting in tachypnea and lung crackles

bec too much blood is going to the lungs

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5
Q

Nursing care for pulmonary edema from patent ductus arteriosus

A

NSAID bec they stop prostaglandins
O2
fluid restriction - might order diuretics

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6
Q

What type of surgery would be used to fix a patent ductus arteriosus

A

ligation

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7
Q

What surgery would not be used to fix a patent ductus arteriosus

A

bypass

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8
Q

When would be not want to close a patent duct arterio

A

when other defects cause the baby to need the ductus arteriosus to live

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9
Q

What are some signs of supraventricular tach

A

racing heart
angina
dizziness

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10
Q

non-hospital nursing care for supraventricular tach

A

bare down act like your pooping
ice to face
carotid massage

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11
Q

What type of med treats supraventricular tach

A

adenosine

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12
Q

What does atropine do

A

increases HR by decreases AV node resistance

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13
Q

How is adenosine given

A

fast IV push

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14
Q

What treatment if adenosine doesnt work

A

cardioversion

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15
Q

What is a nursing con when a pat is scheduled for a cardioversion

A

advocate for pain meds

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16
Q

What are some symptoms of a CHF

A

edema
crackles
poor feeding - evidence of fatigue
portal HTN

17
Q

treatment for CO for CHF pats

A

inotropics- digoxin

diuretics/fluid restrictions

18
Q

Signs of dig toxicity

A

Confusion.
Nausea, vomiting, diarrhea.
yellow green rings in vision

19
Q

What are some things that would indicate transposition of the great arteries

A

if a baby’s O2 sat wont go above the 80’s, is otherwise normal besides cyanosis, and the O2 sat gets worse when youu give O2 or NSAIDS

20
Q

Why would giving O2 or NSIADS with Transposition of the great arteries make things worse

A

bec the ductus arteriosus is the only thing getting O2 to the rest of the body so O2 or NSAIDS would make it close

21
Q

What meds would you give a trans position of great arts pat

A

prostaglandins

22
Q

What might be some side effects of prostaglandin meds

A

fever

apnea

23
Q

Nursing care for transpot of G art pat before travel to states

A

NPO
prostaglandins
IV fluids
meds for intubation

24
Q

How is prostaglandins given

A

continuous IV

25
Q

What are the signs of coarctation of aorta

A

bounding pulse in upper extremities and absent pulse in lower
cool and clammy
poor feeding

26
Q

What is coarctation of aorta

A

narrowing of a short section of the aorta

27
Q

What are some things to assess for when coarc of aorta is suspected

A

pulse differential between lower and upper extremities

BP on all four limbs - usu 10mm diff

28
Q

What is a nursing con for someone with coarc of aorta

A

ductus arteriosus needs to stay open until surgery

29
Q

What are the 4 defects associated with Tetrology of Fallot

A

pulmonic stenosis
VSD
right vent hypertrophy
overriding aorta

30
Q

What are the s/s of kawasaki’s disease

A

high fever
red lips
strawberry tongue

31
Q

Treatment for kawasaki

A

high dose IV immunoglobin G

Aspirin

32
Q

What is kawasakis dis

A

inflammation in blood vessels

33
Q

What defect is used to indicate the level of severity of tetrology of fallot

A

pulmonic stenosis - the more stenosis the worse

34
Q

treatment for Tet of Fallot

A

prostaglandins to help perfusion

surgery

35
Q

What is a Tet spell

A

rapid development of cyanosis

36
Q

What triggers tet spells

A

things that increase O2 demand like
feeding
crying

37
Q

Nursing care for Tet spells

A

put their knees up toward chest

for kid have them squat

38
Q

What is some discharge teaching for tet of fallot

A

knee to chest
minimize pain
minimize illness bec causes dehy so advocate for vaccines

Peds (15 decks)

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