NURS 3330 Chapter Notes - Chapter 12: Atrial Septal Defect, Ventricular Septal Defect, Hypoplastic Left Heart Syndrome
23 Mar 2017
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Polycythemia (increased red blood cell production: causes thi(cid:272)ke(cid:374)i(cid:374)g of (cid:271)lood, predisposes (cid:272)hild to thro(cid:373)(cid:271)i a(cid:374)d stroke, causes heart (cid:373)us(cid:272)le to (cid:449)ork harder, leadi(cid:374)g to (cid:373)us(cid:272)ular h(cid:455)pertroph(cid:455) a(cid:374)d pu(cid:373)p failure. Acyanotic: pulmonary blood flow, atrial septal defe(cid:272)t (cid:894)asd(cid:895, ve(cid:374)tri(cid:272)ular septal defe(cid:272)t (cid:894)vsd(cid:895, pate(cid:374)t du(cid:272)tus arteriosus (cid:894)pda(cid:895, o(cid:271)stru(cid:272)tio(cid:374) to (cid:271)lood flo(cid:449, coar(cid:272)tatio(cid:374) of the aorta, aorti(cid:272) ste(cid:374)osis, pul(cid:373)o(cid:374)i(cid:272) ste(cid:374)osis. Cyanotic: pul(cid:373)o(cid:374)ar(cid:455) (cid:271)lood flo(cid:449, tetralogy of fallot, tri(cid:272)uspid atresia, mi(cid:454)ed (cid:271)lood flo(cid:449, tra(cid:374)spositio(cid:374) of great arteries, tru(cid:374)(cid:272)us arteriosus, h(cid:455)poplasti(cid:272) left heart s(cid:455)(cid:374)dro(cid:373)e (cid:894)hlhs(cid:895) Best heard over 2nd intercostal space on l sternal border. May close spontaneously within 1st year of life. Locate & mark dorsalis pedis and posterior tibial pulses bilaterally. If bleeding, hold direct, continuous pressure 1 in. above the site; Many close spontaneously within 1st year of life. Pre-op and post-op nursing care same as asd. Can close spontaneously within 1st year of life. Insertion of coils to occlude pda during cardiac cath.
