NURS 216 Lecture Notes - Lecture 34: Bicuspid Aortic Valve, Heart Valve, Gestational Diabetes
5 Apr 2020
School
Department
Course
Professor
Document Summary
25% of chd"s require surgery or a procedure within the baby"s first year of life. More than 90% of children with chd live into adulthood. Can be pre-diagnosed in utero with ultrasound. Echocardiograms can diagnose chd once the baby is born need to be sedated as they are unable to follow direction cardiac catheterization assess vs prior. Common chd bicuspid aortic valve ventricular septal defects atrial septal defects. Indications that mother may have child with chd. Respiratory effort tracheal tugging indrawing of the chest muscles. Mumurs common: regurgitant systolic murmur (always pathologic) Murmurs that change with repositioning (innocent) pulmonary flow murmur/venous hum: is heard well and has no positional change, but is still innocent. Pulmonary flow murmur/venous hum: is not audible when the child is supine. Still"s murmur: vibratory, squeaky murmur that is louder at the apex. Pulmonary & aortic valves: also known as semilunar valves. Most commonly seen: hyperkalemia (extremely tall and pointy t waves)
