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Details

Pedi - Kim's F.C. 135-153
HESI
19
Nursing
Undergraduate 4
05/07/2010

Additional Nursing Flashcards

 


 

Cards

Term

Nursing plans and interventions for congenital heart disease.

 

(nutrition and energy)

Definition

Maintain nutritional status, feed small frequent feedings

use high-calorie formula

maintain adequate hydration

polycythemia increases risk of thrombus formation

Term

Congenital heart disease

 

How can you decrease stress and energy use in patient?

Definition

maintain a neutral thermal environment

(body doesn't need to increase metabolism)

 

plan frequent rest periods

 

cluster care

Term
What are the medications commonly prescribed in CHF?
Definition

digoxin

diuretics

Term
What will family need to do before a dental or invasive procedure for CHD patients?
Definition
prophylactic antibiotics to prevent endocarditis
Term
What are the risks of catheterization for a child?
Definition

arrythmias

phlebitis

bleeding

perforation

obstruction of the artery

Term
After a cardiac catheterization, what should you monitor?
Definition

vital signs

pulse

cardiac rhythm

incision site

Term

How do you prepare a child for surgical procedures?

(Appropriate to age)

Definition

show ICU

show family waiting area

explain equipment

use puppets/drawings

provide emotional support

Term
What is the basic difference between cyanotic and acyanotic defects?
Definition

cyanotic - deoxygenated blood is returned to body

 

acyanotic - oxygenated blood is returned to body

Term
You see CHF more often in what type of heart defect?
Definition

Acyanotic

(pulmonary pressure increased)

Term
Signs and symptoms of CHF
Definition

tachypnea, tachycardia, SOB

hepatosplenomegaly

grunting, wheezing

edema, diaphoresis

pulmonary congestions

difficulty feeding

cyanosis

Term
What is CHF?
Definition
inability of heart to pump what it is given
Term
Nursing care in CHF patients?
Definition

VS, respiratory function

elevate HOB 

oxygen, digoxin, diuretics

daily weight, report inc. of weight

maintain strict I/Os, 1g=1cc

low sodium diet

gavage feed PRN

Term
How do you manage digoxin administration?
Definition

apical HR before administration

therapeutic levels are 0.8-2.0 ng/mL

 

give regular basis (no skipping doses)

give 1 hour before or 2 hours after meals

Do NOT mix with food

Term
What are the signs of digoxin toxicity?
Definition

vomiting, diarrhea

anorexia

abdominal pain

fatigue, muscle weakness, drowsy

 

hypokalemia can increase toxicity

Term
What is rheumatic fever?
Definition

inflammatory disease that affects the aorta and mitral valves

common cause is beta-hemolytic strep infection

 

collagen disease, injures heart, Bv, joints, and subQ tissues

Term
Sign and symptoms of rheumatic fever
Definition

chest pain, SOB (carditis)


tachycardia even at rest


chorea (irregular, involuntary movement)


rash


migratory joint pain

 

subQ nodules over bony prominences

Term
Lab findings of rheumatic fever
Definition

increased ESR

 

increased ASO (antistreptolysin O)

Term
Nursing care for rheumatic fever
Definition

Assess for increase cardiac distress

bed rest

help with ambulation

reassure chorea is temporary


medications:

penicillin, erythromycin

aspirin (only time ever!)

[anti-inflammatory and anti-coagulant action]

Term
Describe Penicillin G
Definition

prophylaxis against rheumatic fever

allergic reactions: rashes -- shock -- death

 

released slowly over weeks,

giving sustained levels of concentrations

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