Congenital Heart Conditions Flashcards

1
Q

What is a congenital cardiac condition?

A

A structural heart defect present at birth.

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2
Q

What are the four main causes of heart failure?

A
  • Volume overload
  • Impaired contractility
  • High cardiac output demand
  • Pressure overload
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3
Q

What are common infant symptoms of cardiac failure?

A
  • Poor feeding
  • Faltering growth
  • Tachypnoea
  • Tachycardia
  • Hepatomegaly
  • Sweating
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4
Q

What is an acute treatment for heart failure?

A
  • Diuretics
  • Inotropes
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5
Q

What are some chronic treatments for heart failure?

A
  • ACE Inhibitors
  • ARBs
  • Beta blockers
  • Spironolactone
  • Digoxin
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6
Q

True or False: Patients with Down syndrome are at risk of heart conditions.

A

True

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7
Q

What is recommended for patients with Down syndrome within the first six weeks of life?

A

An echocardiogram

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8
Q

How are patients with Down syndrome monitored throughout their life?

A

They are monitored for heart conditions.

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9
Q
A
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10
Q

What is a Ventricular Septal Defect (VSD)?

A

A hole in the septum between the ventricles

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11
Q

What can blood flow into due to a VSD?

A

Opposite ventricles

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12
Q

What are some potential consequences of VSD?

A
  • Heart failure
  • Irregular heart rhythm
  • Eisenmenger Syndrome
  • Lean heart valve
  • Strong pulmonary hypertension
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13
Q

What is the treatment for small VSDs?

A

They can close by themselves

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14
Q

What treatments are needed for larger VSDs?

A
  • Transcatheter closure
  • Open heart surgery
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15
Q

What is an Atrial Septal Defect (ASD)?

A

A hole in the septum between the upper chambers of the heart

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16
Q

How does blood flow in an ASD?

A

From the more oxygenated side of the heart to the less oxygenated side

17
Q

What are some effects of ASD?

A
  • Increased pulmonary blood flow
  • Right atrium and ventricle hypertrophy
  • Pulmonary hypertension
18
Q

What is a common presentation of septal defects?

A
  • Machinery murmur
  • Shortness of breath
  • Tiredness with activity
  • Arrhythmias
  • Palpitations
19
Q

True or False: VSD can lead to Eisenmenger Syndrome.

20
Q

Fill in the blank: A __________ defect is characterized by a hole in the septum between the upper chambers of the heart.

A

Atrial Septal

21
Q

Fill in the blank: A __________ defect allows blood to flow into opposite ventricles.

A

Ventricular Septal

23
Q

What are baseline observations in nursing considerations?

A

Oxygen saturations, temperature, blood pressure, heart rate

These observations help assess the patient’s condition and detect any potential complications.

24
Q

What does a full blood count measure?

A

Hb level

Hb level is critical for evaluating the patient’s oxygen-carrying capacity.

25
What is the purpose of X-Match in nursing?
To determine blood group ## Footnote This is essential for safe blood transfusions.
26
What are the types of lines used post-operatively?
Central line, Pice line, Peripheral cannula, Arterial lines ## Footnote These lines are used to monitor the patient and deliver medications.
27
How often should a chest drain be monitored post-operatively?
Every 15 minutes and then hourly ## Footnote This monitoring is important for detecting complications.
28
What are the fluid restrictions on the day of surgery?
25% ## Footnote Fluid restrictions help prevent heart overload.
29
What are the fluid restrictions on day 1 post-op?
50% ## Footnote Gradual increase in fluids helps manage the patient's recovery.
30
What are the fluid restrictions on day 2 post-op?
75% ## Footnote This is part of a controlled fluid management strategy.
31
What are the fluid restrictions on day 3 post-op?
100% ## Footnote Full fluids are allowed as the patient stabilizes.
32
What can heart overload during recovery cause?
Pressure increase of the heart ## Footnote Monitoring fluid intake is crucial to prevent this complication.
33