Term
Foramen Ovale connects... |
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Definition
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Term
Ductus Arteriosus connects... |
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Definition
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Term
% of blood flow bypassing lungs |
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Definition
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Term
Transition to neonatal circulation (progression) |
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Definition
placental separation >> fluid leaves lungs >> systemic pressure incr, pulmonary pressure decr >> shunt closure |
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Term
Timeframe for anatomical closure: ductus arteriosus |
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Definition
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Term
Timeframe for anatomical closure: foramen ovale |
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Definition
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Term
characteristics of newborn respiration (5) |
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Definition
small, narrow airways small, inefficient rib cage (1/3 size of thoracic cavity) fatiguable diaphragm (rounded, up) low lung compliance inefficient gas exchange (SA 1/20th that of adult) |
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Term
Preterm infant considerations (3) |
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Definition
lung immaturity abnormal surfactant FO & DA remain open for longer |
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Term
Normal parameters for Neonates: RR |
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Definition
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Term
Normal parameters for Neonates: HR |
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Definition
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Term
Normal parameters for Neonates: BP |
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Definition
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Term
10% of congenital ht defects associated c other dx... |
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Definition
Down Syndrome Williams Syndrome Marfan Syndrome DiGeorge Syndrome VACTERL association |
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Term
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Definition
vertebral, anal, cardiac, tracheoesophageal fistula, renal, limb anomalies |
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Term
Typical clinical presentation of infant c heart anomaly (8) |
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Definition
labored breathing incr RR tachycardia diaphroetic incr urine output feeding/eating probs (2º to labored breathing) poor wt gain irritability |
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Term
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Definition
ASD VSD PDA Coarctation of aorta |
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Term
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Definition
>> enlarged R atrium >> heart failure |
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Term
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Definition
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Term
most common congenital heart defect (20-30%) = |
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Definition
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Term
Typical direction of blood shunting in ASD/VSD |
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Definition
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Term
PDA: DA remains open in response to... |
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Definition
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Term
co-condition often present c coarctation of aorta |
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Definition
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Term
severe coarctation of aorta >> |
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Definition
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Term
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Definition
Tetralogy of Fallot (50% of all) Transposition of Great Vessels |
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Term
Tetralogy of Fallot: components |
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Definition
VSD aorta overrides R ventricle pulmonary valve stenosis R ventricle hypertrophy |
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Term
Tetralogy of Fallot: clinical presentation |
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Definition
decr ht/wt nail clubbing cyanotic episodes (cyanosis, dyspnea, syncope) |
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Term
Transposition of Great Vessels - what must happen to sustain life |
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Definition
DA & FO must remain open to allow mixing of O2 blood |
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Term
age range for repair of cyanotic defects |
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Definition
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Term
Indications for Heart Transplant (3) |
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Definition
end-stage heart failure (congenital) CHF CF |
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Term
Survival rates p heart transplant: infants |
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Definition
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Term
Survival rates p heart transplant: teens |
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Definition
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Term
Survival rates p heart transplant: HTN |
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Definition
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Term
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Definition
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Term
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Definition
10% of preemies 50-60% of those born <29 weeks |
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Term
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Definition
incr RR chest retractions nasal flaring grunting cyanosis URIs later in life |
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Term
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Definition
surfactant steroids (accelerate lung maturation) supplemental O2 chest PT |
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Term
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Definition
rales wheezing cyanosis hypoxemia lower respiratory infection |
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Term
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Definition
supplemental O2 bronchodilators, steroids, NSAIDs |
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Term
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Definition
R-sided heart failure developmental delay |
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Term
Meconium Aspiration Syndrome (MAS): def'n |
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Definition
meconium below level of vocal cords |
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Term
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Definition
airway obstruction >> atelectasis
pulmonary edema |
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Term
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Definition
surfactant suctioning supplemental O2 |
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Term
Probs for pediatric cardiopulm pts (4) |
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Definition
breathing pattern mucus transport rib mobility prolonged supine position |
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Term
Goals for pediatric cardiopulm pts (4) |
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Definition
mobilize secretions incr aeration incr mobility reach developmental milestones |
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Term
Strategies for Rx of pediatric cardiopulm pts (6) |
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Definition
postural drainage percussion (3 fingers) vibration assisted coughing (laugh/cry) incentive spirometry (bubbles, singing) rocking/counter-rotation |
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Term
Ideal positioning for pediatric cardiopulm pts |
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Definition
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Term
Contraindications p sx for pediatric cardiopulm pts (3) |
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Definition
Ø UE >90º (first 4-6 wks) Ø lift child by axilla/thorax (first 4-6 wks) Ø contact sports |
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Term
Influences on development of pediatric cardiopulm pt (5) |
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Definition
poor feeding/eating/growth >> developmental lag decr prone positioning transition mvmt (teach before sx) mobility/locomotion postural deformities |
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Term
Additional Considerations of pediatric cardiopulm pt |
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Definition
poor attachment overprotection/excessive activity restriction |
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