Term
| What are important considerations when taking the history of a child with CHF or congenital heart defect? |
|
Definition
1. Hx of respiratory infections
2. SOB with bottle feeding
3. Child fatigued easily while playing
4. Hx of cardiac problems in the family
5. Recent strep infections
6. If mother took teratogen agents while pregnant such as seizure medications or Acutane
7. Hx of chromosomal defects
8. Use of alcohol when pregnant
9. Diabetes for mothers over 40
10. If mother contracted rubella in first three months of pregnancy |
|
|
Term
| What are important assessment areas for a child with CHF or congenital heart defect? |
|
Definition
1. Nutritional intake
2. Charting on growth charts
3. Psychosocial considerations |
|
|
Term
| What are some examples of an appropriate nursing diagnosis for a child with CHF or congenital heart defect? |
|
Definition
1. Excess fluid overload
2. Ineffective infant feeding pattern
3. Risk for infection
4. Interrupted family process
5. Delayed growth & development |
|
|
Term
| What are appropriate planning and implementation considerations for a child with CHF or congenital heart defect? |
|
Definition
1. Administer medications
2. Promote rest, nutrition, & growth
3. Maintain metabolic demands & oxygenation
4. Provide emotional support |
|
|
Term
| What are feeding strategies that can be taught to the family? |
|
Definition
1. NG tube may be used to increase caloric intake
2. Formula may be increased to 24 Cal/oz
3. Stop feeding if Resp rate >60 per min & start NG tube |
|
|
Term
| What infection control measures can a nurse teach a family? |
|
Definition
1. Hand washing
2. Minimize
3. RSV prophylaxis : synagis |
|
|
Term
| When should by the physician be notified by the family when caring for a child with CHF? |
|
Definition
1. Fever
2. Poor Feeding
3. Vomiting, diarrhea (Digi toxicity) |
|
|
Term
| What are symptoms of digoxin toxicity? |
|
Definition
1. Pulse deficit
2. Arrhythmia
3. NV
4. Headache
5. dizzy, confused |
|
|
Term
|
Definition
| increases myocardial contractility to improve systemic circulation |
|
|
Term
| What can increase risk of digoxin toxicity? |
|
Definition
|
|
Term
| What must be taken prior to digoxin administration? |
|
Definition
| Listen to Apical pulse for 1 minute or changes in rhythm & quality |
|
|
