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NUR 370 PEDs Ball State Exam 3- Hemo, Cardiac, Cellular, Resp, Immunological Questions and Answers CA$12.98   Add to cart

Exam (elaborations)

NUR 370 PEDs Ball State Exam 3- Hemo, Cardiac, Cellular, Resp, Immunological Questions and Answers

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  • NUR 370
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  • NUR 370

Increase pulmonary blood flow ASD, VSD, A-V canal, PDA Decrease pulmonary blood flow TGA, TOF, PS Low Sats, cyanotic Requires Prostaglandin E-I TGA: duct art. Connects pulm veins to aorta. No connection between pulm and syst. Circuits w/o this. COA: obstructive/ stenosis of aorta. HLHS: left s...

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  • August 27, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 370
  • NUR 370
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NUR 370 PEDs Ball State Exam 3- Hemo,
Cardiac, Cellular, Resp, Immunological
Questions and Answers
Increase pulmonary blood flow ✅ASD, VSD, A-V canal, PDA

Decrease pulmonary blood flow ✅TGA, TOF, PS

Low Sats, cyanotic

Requires Prostaglandin E-I ✅TGA: duct art. Connects pulm veins to aorta. No
connection between pulm and syst. Circuits w/o this.

COA: obstructive/ stenosis of aorta.

HLHS: left side under developed, so unable to send oxygenated blood out to body w/o
ductus arterious.

TGA, COA, HLHS

X-ray findings. ✅ASD: increased heart size
VSD: none
A-V: none
TOF: boot shaped r/t right side hypertrophy.
PS: cardiomegaly
COA: increased heart size
TGA: egg shaped
HLHS: increased heart size, underdevel. Left side.

Conditions that need digoxin ✅VSD, CHF

Digoxin: increased CO, decreases HR, decreased edema

Toxicity s/sx: change in LOC, weak pulse, N/V/ diarrhea, bradycardia

If child vomits after first dose, wait until second dose, give it and if they comit again go
to doctor to get blood tests for toxicity.

Uses cardiac cath ✅A-V canal
PDA
PS
ASD
VSD

, TGA

COA, TOF, HLHS do NOT use cardiac cath.

First intervention for tet spell ✅knee to chest position, then calm child down.

Synagis: ✅given to prevent RSV infections. (resp)
Expensive. $1500 for 50 ml. 15 ml/kg dosage. Given q28 day. October- April.

Increased pulmonary blood flow s/sx. ✅edema, periorbital edema, murmurs,
congestion, fluid retention, frequent respiratory infections (cannot filter blood properly)
SOB, fatigue, chest pain/ pressure, poor weight gain

Decreased pulmonary blood flow s/sx. ✅cyanosis, pallor, polycythemia ( increased Hct
d/t decrease platelet r/t increase RBC production to oxygenated), clubbing
SOB, chest pain, fatigue,

ACE inhib ✅-prils
Captopril, enalapril

Decrease BP, vasodilate
S?E angioedema, cough, electrolyte imbalances

Diuretics ✅Lasix, spirolactilone (K+ sparing) thiazides


Decrease fluid volume and retention

Rheumatic fever ✅acquired heart disease
Affects valves.
Comes from strep infections (about 2 wks later).
Inflammation of heart, CNS, subcutaneous tissue, joints.

*prevent strep infections and seek med attention asap.

Major: chorea (invol movement of extremities and face) carditis, polyarthritis, subcut.
Nodules, erytherma marginatium (rash)

Minor: fever, arthralgias (soreness), increased ESR, increased CRP, first degree AV
block on EKG

MUST HAVE TO MAJOR OR TWO MINOR W/ RECENT STREP INFECTION.

TX: PCN or Erythromycin: prophylactic abx (5+ years) bed rest, CS.

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