Ss cyanosis systolic murmur blue despite 100 o2 tx

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S+S: cyanosis, systolic murmur, blue despite 100% O2 Tx: prostaglandin to keep PDA open, double switch procedure TOTAL ANOMALOUS VENOUS RETURN (TAVR) Pulmonary veins that bring oxygenated to the left atrium are connected to the right atrium instead. So, deoxygenated blood goes to the body. Not usually a good outcome, 3-4 surgeries, and always a risk for scar tissue in heart, which can lead to abnormal rhythms. S+S: blue despite 100% O2 Tx: surgical repair then correct rhythm abnormalities after TRUNCUS ARTERIOSUS One single artery arises from the heart, it is the combination of the pulmonary artery & aorta, and they form a “fat trunk.” Patient is alive because of compensation through VSD. S+S: cyanosis, activity intolerance, not eating well, hear murmur due to the hole in the ventricle. Tx: candidate for heart transplant, or several surgeries splitting the vessels & shunting blood to prevent overload.
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NURS 30020 FINAL STUDY GUIDE ERIKSON’S STAGES OF PSYCHOSOCIAL DEVELOPMENT PEDIATRIC CPR Recognition : Unresponsive in all ages and no pulse felt within 10 seconds. Adults: no breathing or no normal breathing i.e. only gasping. Children & Infants: no breathing or only gasping. TRY TO AROUSE FIRST CPR Sequence: CAB—chest compressions, airway, breathing Compression Rate: At least 100/min Compression Depth: Adults: At least 2 inches Children: At least 1/3 AP diameter or about 2 inches Infants: At least 1/3 AP diameter or about 1 ½ inches Chest wall recoil: allow complete recoil between compression and rotate compressors every 2 minutes Compression interruptions: minimize interruptions in chest compressions and attempt to limit interruptions to less than 10 seconds Airway: head tilt-chin lift (suspected trauma use jaw thrust) Compression-ventilation ratio : Adults: 30:2 for 1-2 rescuers Children & Infants: 30:2 for single rescuer and 15:2 for two rescuers Ventilations with advanced airway: 1 breath every 6-8 seconds (8-10 breaths/min), asynchronous with chest compressions, about 1 second per breath, and visible chest rise. Defibrillation: Attach and use AED as soon as available, minimize interruptions in chest compressions before and after shock, resume CPR beginning with compressions immediately after each shock. MENTAL HEALTH AND COGNITION Assessment History- prenatal, meds, injuries, family history
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Growth & development- head circumference, percentile, Denver developmental screening, skills and abilities, social skills (attachments, eye contact, smiles) Affect- expressions, body posture, interest in surroundings, behavior norm for age, dress Behavior- LOC, interactions, events that lead to certain behaviors Life events- trauma, family structure, changes in family, chronic illness in family Play Therapy Play therapy: technique used with children who have psychosocial disorders Therapeutic play : used to help children learn about healthcare, express anxieties & feelings, achieve a sense of mastery or control over frightening/little understood situations, don’t analyze!
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  • Winter '19
  • Melissa DuVall

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