Congenital Heart Defects

Question 1

Memorize one word: “TRouBLe” with the lower case vowels because congenital heart defects are either:

Answer 1

o “TRouBLe” or

o Nothing to worry about

Question 2

A pediatric pt with “TRouBLe” as congenital heart defect

Answer 2

• Needs surgery now/soon to live
• Has slowed/delayed growth and development (failure to thrive)
• Has a shortened life expectancy
• Parents will experience a lot of grief, financial and emotional stress
• Pt is likely to be discharge home on a cardiac monitor
• After, birth, pt will be in the hospital for weeks
• Pediatrician or pediatric nurse will likely refer pt to a pediatric cardiologist

Question 3

A “TRouBLe” congenital heart defect

Answer 3

• “TRouBLe” shunts blood Right to Left
• “TRouBLe” is Blue (cyanotic)
• All “TRouBLe” start with the letter “T”

Question 4

• All “TRouBLe” start with the letter “T”

Answer 4

o Tetralogy of Fallot
o Truncus arteriosus
o Transposition of the great vessels
o Tricuspid atresia
o Totally anomalous of pulmonary vasculature (TAPV)
o Except, Left ventricular hypoplastic syndrome

Question 5

These are examples if No TRouBLe congenital heart defects

Answer 5

• Ventricular septal defect (VSD)
• Patent ductust arteriosus (PDA)
• Patent foramen ovale
• Atrial septal defect
• Pulmonic stenosis

Question 6

All children with a congenital heart defect, whether TRouBle defect or No TRouBle defect, have

Answer 6

• A Murmur

* An echocardiogram need to be done to find out the cause of the murmur

Question 7

4 defects of Tetralogy of Fallot

Answer 7

VarieD
PictureS
Of A
RancH

“PROVe”
• Pulmonary artery stenosis
• RVH (right ventricular hypertrophy)
• Overriding aorta
• VSD (ventricular septal defect)

Question 8

Infant becomes cyanotic and has difficulty breathing with Tetralogy of Fallot

Answer 8

knee-to-chest position