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Peds Test 2
Cardiac
28
Nursing
Graduate
06/19/2013

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Cards

Term
Murmurs are classified by
Definition
intensity, location, radiation, timing, and quality
Term
Weaker pulses/ lower BP in lower extremities may indicate
Definition
Coarctation of the aorta
Term
Bounding pulses may indicate
Definition
PDA, aortic insufficiency
Term
First breath pressure changes
Definition
Right side of heart decreases, left side of heart increase, increases in aorta
Term
Cardiac conduction
Definition
SA node goes to AV node goes to Bundle of HIS
Term
Cardiac catheterization
Definition
Invasive test, visualizes heart vessels, measures O2 sat in chambers, measures pressures, determines pumping action
Term
Pre-cardiac catheterization assessment
Definition
Hgb, Hct, pedal pulses, NPO, hold dig, IV is polycythemic
Term
Pst cardiac catheterization assess
Definition
VS, with apical pulse q15min for first hours, assess pulses below cath site
Term
acyanotic heart defects
Definition
increase pulmonary blood flow, obstruction of blood flow from ventricles
Term
cyanotic heart defect
Definition
decreased pulmonary blood flow, mixed blood flow
Term
clinical manifestations of heart failure
Definition
systemic venous congestion, pulmonary venous congestion, compensatory response
Term
Digoxin therapy
Definition
increases force of myocardial contraction, gold if HR is <100 for toddler, <80 for older child
Term
signs of digoxin toxicity
Definition
bradycardia, arrythmia, N/V
Term
PDA
Definition
high risk for pulmonary HTN, diagnosed by chest x-ray, echo
Term
PDA tx
Definition
Indomethocin PO (constricts wall of PDA, promoting closure), coil placement, surgery
Term
Atrial Septal Defect
Definition
Blood in left atrium flows into right atrium
Term
ASD diagnosis
Definition
murmur may be heard in pulmonary valve due to heart forcing large amount of blood through
Term
Ventricular Septal defect
Definition
opening in ventricular septum, tx with diuretics, dig, calories, proph antibiotics for dentist
Term
Coarctation of aorta
Definition
congenital narrowing of descending aorta; prostaglandin may be given to keep PDA open, High BP post surgery seen
Term
Tetrology of Fallot
Definition
Most common defect causing cyanosis in child over 1 year; oxygen has little effect on cyanosis
Term
4 characteristics of tetrology of fallot
Definition
1. Narrowing of pulmonary valve, thickening of wall of right ventricle 3. displacement of aorta 4. Ventricular septal defect
Term
Long term outcomes of tetrology of fallot
Definition
Arrythmias, heart block (pacemaker), periodic echo or stress test or holter needed
Term
Aortic Stenosis
Definition
obstruction of blood flow from left ventricle; murmur will be heard; balloon dilation performed
Term
HLH Tx
Definition
Norwood- Right ventricle becomes systemic ventricle pumping blood to the body; Glenn: done at 3-6 months; Fontan; Done at 2-3 yrs
Term
Kawasaki disease
Definition
Acute, self-limiting, generalized vasculitis; peaks at 6 mo-2 yrs. Sx may include pink eye, mucosal change, strwaberry tongue, BV elevated
Term
Kawasaki Tx
Definition
IV gamma globulin, high dose ASA, to low dose ASA, baseline echo
Term
Pediatric HTn generally caused by:
Definition
Renal disease, CV disease, endocrine or neurologic disorders
Term
Sizing of BP cuff
Definition
width is 40-50% of circumference of limb
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