Term
| Differentiate btwn a right to left and left to right shunt in cardiac disease |
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Definition
*a LEFT TO RIGHT shunt moves oxygenated blood back through the pulmonary circulation.
*A RIGHT TO LEFT shunt bypasses the lungs and delivers unoxygenated blood to the systemic circulation, causing cyanosis |
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Term
| List the four defects associated with tetralogy of fallot |
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Definition
| VSD, overriding aorta, pulmonary stenosis, right ventricular hypertrophy |
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Term
| List the common sign of cardiac problems in an infant |
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Definition
| Poor feeding, poor weight gain, respiratory distress and infection, edema and cyanosis |
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Term
| What are the two objectives in treating CHF? |
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Definition
| Reduce the workload of the heart and increase cardiac output |
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Term
| Describe nursing interventions to reduce the workload of the heart |
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Definition
| Give small frequent feedings or gavage feedings. Plan frequent rest periods. maintain a neutral thermal environment. Organize activities to disturb child only as indicated |
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Term
| What position would best relieve the child experiencing a tet spell? |
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Definition
| Knee chest postion or squatting |
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Term
| What are the common s/s of digoxin toxicity? |
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Definition
| Diarrhea, fatigue, weakness, nausea/vomit; the nurse should check for bradycardia prior to admin |
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Term
| List five risks in cardiac catheterization? |
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Definition
| arrythmia, bleeding, perforation, phlebitis, and obstruction of the arterial entry site |
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Term
| What cardiac complications are associated with rheumatic fever? |
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Definition
| Aortic valve stenosis and mitral valve stenosis |
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Term
| What medications are used to treat rheumatic fever? |
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Definition
| Penicillin, erythromycin and aspirin |
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