Exam (elaborations)
Peds Exam 2 Review | Questions And Answers Latest {} A+ Graded | 100% Verified
- Course
- Institution
Peds Exam 2 Review | Questions And Answers Latest {} A+ Graded | 100% Verified
[Show more]
Content preview
Peds Exam 2 Review | Questions And Answers Latest {2024- 2025} A+ Graded | 100%Verified
Cardiac Cath - PRE:
-NPO 4-6 hours (sometimes clear liquids)
-Allergies- esp. iodine/ shellfish (dye), prior sedation history
-Baseline circulation + patient teaching
POST:
-*pressure for 5 mins, then pressure dressing placed
-LAY FLAT and bedrest for 6 hours- difficult for kids
-Encourage fluids = get dye out
-Minimal activity for 24 hours
-Prevent vomiting- don't want increased pressure
General Heart Defects S/S - *Heart murmur
*Cyanosis (as soon as cord is cut)
*Tachycardia - heart tries to compensate by beating faster
*Diaphoresis- classic sign of heart issue
*Poor weight gain (too tired to feed)
Delayed cap refill
Diminished pulses
Patent Ductus Arteriosus (PDA) - INCREASED PULM BLOOD FLOW
LEFT to RIGHT SHUNT- more blood to lungs
Patent = DA stays open, pressure on LEFT side higher, more blood to lungs
*Machinery murmur, wide pulse pressures, BOUNDING pulses, HIGH risk for respiratory infections
,*IV Indomethacin (decreases need for surgery)
Cardiac cath or surgery
Arterial Septal Defect (ASD) - INCREASED PULM BLOOD FLOW
HOLE in atrium = L to R shunt = more blood to lungs
*Loud, harsh murmur, easy tiring, poor growth, CHF
Small = can resolve by 4 yo (do nothing)
Severe = patch/ occlude (CC, surgery)
Ventricular Septal Defect (VSD) - INCREASED PULM BLOOD FLOW
HOLE in ventricle = L to R shunt = more blood to lungs
*most common defect
*Loud, harsh murmur @ LEFT STERNAL BORDER
Most small close within 6 months
Closure surgery usually > 1 yr
Pulmonary Stenosis - OBSTRUCTIVE SYSTEMIC BLOOD FLOW
Pulm valve NARROWS = OBSTRUCTS blood flow to pulm artery
-DECREASED volume in RV
-DECREASED cardiac output (low pressure AFTER narrowing)
-HYPERTROPHY of RV (high pressure BEFORE narrowing)
*MURMUR, thrill, CYANOSIS (decreased CO)
Range from asymptomatic to cardiomegaly/ HF
, Corrections depend on severity
Mild = do nothing
Moderate = cardiac cath, balloon
Severe = surgical valvotomy or resection
Coarctation of the Aorta (COA) - OBSTRUCTIVE SYSTEMIC BLOOD FLOW
NARROWING of Aorta- heart has to pump harder to force blood through narrow portion.
*Obstructed blood to LOWER extremities- more S/S here
*4 Quadrant BPs- lower BP distally, in lower extremities (hypotension in general)
S/S: cool skin, weak/ absent femoral pulses
Usually prefer to do surgery- high rate of reoccurrence
Hypoplastic Left Heart Syndrome (HLHS) - OBSTRUCTIVE SYSTEMIC BLOOD FLOW
*Living life w/ 1 ventricle
5 defects:
1. Left side of heart underdeveloped
2. Small aorta
3. PDA (we WANT to stay open = prostaglandins)
4. Mitral and aortic valve stenosis or atresia
5. ASD (not always- but if no ASD, big trouble!)
*When born = severe CYANOSIS, tachycardia, tachypnea, retractions, shock/ death if untreated
3 stage surgery:
1. Norwood Procedure ~ 1 week
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller oneclass. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.48. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now