Exam 3 Key Concepts (1).pptx - Key Concepts Cardiac Respiratory GI GU Growth Development Cardiac procedures Nursing interventions for developmental

Exam 3 Key Concepts (1).pptx - Key Concepts Cardiac...

This preview shows page 1 - 11 out of 36 pages.

Key Concepts Cardiac Respiratory GI GU Growth & Development
Image of page 1
Cardiac procedures Nursing interventions for developmental levels Nursing interventions Postprocedural care- Check pulses especially where?? below the catherization site. Temp and color of the extremity Why? Can indicate arterial obstruction Vital Signs, Why? Why check a pulse for on full minute (dysrhythmia and bradycardia) B/P can indicate what? Hypotension which can indicate what? (hemorrhage) Remember it’s a later sign in a child, children are able to maintain blood pressure longer then adults. Dressing check why? Bleeding or hematoma, Fluid intake.
Image of page 2
Congenital Heart Defects ASD –Atrial Septal Defect may be asymptomatic but can develop CHF. Oxygenated blood flows back in the right atrium. Can be treated with a surgical patch closure or cardiac cath.
Image of page 3
VSD –Ventricular Septal Defect Can cause hypertrophy of the right ventricle from the pressure from the lungs and the left to right shunting. CHF is common. There is a loud holosystolic murmer. Closure of VSD.
Image of page 4
Coarctation of the aorta Narrowing near the insertion of the ductus arteriosus which results in increased pressure proximal to the defect ( head and upper extremities) and decreased pressure distal to the obstruction (body and extremities). Patient presents with increased blood pressure and bounding pulses in the arms, weak or absent femoral pulses and cool lower extremities with lower blood pressure. Treatment: stents or resection of aorta.
Image of page 5
Tetralogy of Fallot: Four defects are ventricular septal defect, pulmonic stenosis, overriding aorta and right ventricular hypertrophy . Manifestations are cyanotic at birth. It can start off mild and progress with time. acute episodes of cyanosis and hypoxia called blue spells or tet you may see elevated HR and RR. Place the infant in the knee chest position . Be calm, conforting approach. May need 100% O2 or Morphine during hyper cyanotic episode. Treatment is surgery.
Image of page 6
Other Congenital Heart Defects Patent Ductus Arteriosus Transposition of Greater Vessels Tricuspid Atresia Truncus Arteriousous Hypoplastic Left Heart
Image of page 7
Congestive Heart Failure S & S: tachycardia, weight gain, diaphoresis Treatment: Digoxin Lasix Oxygen
Image of page 8
Rheumatic fever: Inflammatory disease occurs after Group A β-hemolytic streptococcal pharyngitis Treatment of streptococcal tonsillitis/pharyngitis Antibiotics Anti-inflammatories Bedrest
Image of page 9
Kawasaki Disease Etiology is unknown. Monocutaneous lymph node syndrome Acute systemic vasculitis of unknown cause 75% of cases are in children under age 5 Self-limiting Increased risk of coronary artery aneurysm Acute Phase-abrupt high fever not responsive to antibiotics, irritability, rash, red eyes, peeling hands & feet, irritability, red tongue Subacute phase- resolution of fever and lasts until all clinical signs of KD have disappeared. This phase is where the child is at greatest risk for developing coronary
Image of page 10
Image of page 11

You've reached the end of your free preview.

Want to read all 36 pages?

  • Summer '18
  • None

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors