Term
| Signs and symptoms of congenital heart defects. |
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Definition
murmur (present/absent; thrill, rub)
cyanosis, clubbing digits
poor feeding and weight gain
frequent reurgitation
frequent respiratory infection
activity intolerance, fatigue |
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Term
| Assess for heart defects by checking a patients: |
|
Definition
heart: rate, rhythm, sounds
pulse quality & symmetry
BP in upper & lower extremities
hx of maternal infection in pregnancy |
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Term
Nursing Plans and Interventions:
Cardiac Heart Defect
in relation to nutrition and energy |
|
Definition
maintain nutritional status
feed small meals frequently
use high-calorie formula
maintain adequate hydration b/c
polycythemia is an increase risk for thrombus a formation |
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Term
Cardiac Heart Defect
How can you decrease stress and energy use in a patient? |
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Definition
Maintain a neutral thermal environment (body doesn't need to increase metabolism then)
plan frequent rest periods
cluster care |
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Term
| Medications commonly used in cardiac heart defects |
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Definition
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Term
| Risks of cardiac catheterizations for a child |
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Definition
arrhythmias
bleeding
perforation
phlebitis
arterial obstruction at the entry site |
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Term
| After a cardiac catheterization, what should you monitor? |
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Definition
VS
pulses
incision site
cardiac rhythm |
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Term
| CHF is most often associated with what? |
|
Definition
|
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Term
|
Definition
| heart is unable to pump effectively the volume it is given |
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Term
| Signs and Symptoms of CHF |
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Definition
tachypnea, SOB
tachycardia
difficulty feeding
cyanosis
grunting, wheeing, pulmonary congestion
edema
diaphoresis
hepatomegaly |
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Term
| Nx plans and interventions: CHF |
|
Definition
monitor VS, respiratory function
elevate HOB (easier for heart to pump blood)
give O2, digoxin, diuretics
weigh freq. & report wt gain
maintain strict IOs, 1 gm=1cc
low sodium diet
gavage feed if needed |
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