NSG 3107 Lecture Notes - Lecture 6: Interventricular Septum, Perfusion, Cardiac Catheterization
Document Summary
Alecture 6: nsg care of a child with cv dysfunction. Electrical conduction involves: sinoatrial node, atrioentricular node, bundle of his, purkinje fibers. What happens when normal changes do not occur: blood continues to shunt away from the lungs, or too much blood goes to the lungs. Cardiovascular dysfuntion: congential heart disease (chd, acquired heart disease, acquired through disease process, causes: Infection: environmental, diseases where disease itself or treatment of the disease impacts the heart. Lung sounds crackles, wheezes, air entry: vitals, pulses and warmth of extremeties, presence of clubbing. Risk factors: family history of cardiac disease, maternal diabetes, chronic diseases, maternal drug or alcohol use. Chd presentation in the neonatal period: varies depends on the lesion: newbown, first fre days of life when pda and. Fo close, first few weeks to months of life as infant less about to feed/thrive. Classifications of chd hemodynamic characteristics: decreased pulmonary blood flow, obstruction of blood flow from the heart, mixed blood flow.