Perfusion Flashcards
“SICKLING” occurs during periods of decreased ________. The sickled cells clump together to form a _______ whics causes an occlusion
Oxygen
Thrombosis
GOAL (2) of medical management (Congestive Heart Failure)
1) Increase heart efficiency
2) Remove Excess fluid
Congenital heart defect that has loud murmur and sounds like a washing machine
VSD
When all complexes of the EKG are normal, evenly spaced and the rate is correct based on the age of the patient.
Normal Sinus Rhythm
when giving lasix you must be monitoring ______ values
Potassium
TYpe of infection that is commonly seen after cardiac surgery
endocarditis
___________ is the #1 reason for Right sided heart failure
HTN
decreased pulmonary blood flow is seen with what type of shunting
right to left shunting
If the child (after cardiac surgery) drains more than 3ml/kg per hour for 3 consecutive hours or 5ml in any one hour time frame
Report to provider immediately b/c the child could be hemorrhaging
LEFT sided heart failure symptoms
Tachypnea Dyspnea Exercise Intolerant Orthopnea Cough Cyanosis Wheezing Rales REtractions Nasal Flaring
The “T” wave is known as the ________ wave
recovery
The “P” wave of the EKG is produced when the ___________ contract
atria
Triggers for SIckle Cell Anemia
- Dehydration
- Infection
- stress
- Exposure to cold
- Intense exercise
Congenital Heart defect associated with each:
Left to right shunting
right to left shunting
Ventricular septal defect (VSD)
Tetraloy of fallot
If child requires surgery for VSD then they typically wait until the child is _____ years old
4-5 years
(SICKLE CELL)- sickling of cells causes them to
stick together
In left to right shunt there is an increased/decreased pulmonary blood flow
increased
Normal O2 saturation for pt with Tetratolgy of Fallot
70-80%
Priority nursing interventions for Sickle Cell Anemia
PAIN MANAGEMENT (Morphine is drug of choice)
OXYGEN (to get them to 93% at least)
BEDREST (
CHildren with Sickle Cell disease are always anemic? (TRUE/FALSE)
TRUE
(Typical HGB values for these children are anywhere between 6-10
The “QRS” complex is produced when the ________ contract
Ventricles
Tetralogy of fallot (4) defects
1) Pulmonary Stenosis
2) VSD
3) Overriding Aorta
4) Right Ventricular Hypertrophy
Normal sinus rhythm rates for: NEWBORN TODDLER PRESCHOOL SCHOOL AGE ADOLESCENT
Newborn 100-180 Toddler 80-150 Preschool 70-120 School Age 70-110 Adolescent 55-90
Most accurate assessment of fluid overload
Daily weight
