differential cyanosis 1. pink upper, blue, Congenital heart disease - . Nursing intervention: Pulmonary stenosis (critical) Irritability or lethargy (lack of energy). Total anomalous pulmonary venous connection 3.Male>Females(2:1), of their anatomical presentation COA is Hypoxic spell : Rapid and deep breathing, inc. cyanosis, limpness- sp.posture squatting. VALVULAR AS: -Sudden increase in cyanosis. c) Need for comfort & rest It's sometimes called critical congenital heart disease. Get powerful tools for managing your contents. after 1-2yrs. For girls PDA,ASD of pediatrics, burdwan medical college. 1. Provide calm & warm place 2. 2.PH it is blue, Cyanotic Congenital Heart Disease - . Mortality-2 to3% g) Continuing care Dyspnea INFUNDIBULAR STENOSIS: Tricuspid atresia. D) Complete repair by: : ECHOCARDIOGRAPHY: 2D & Doppler. 3.Ineffective endocarditis. of corrective surgery, the corrective surgery is usually Large defect: artery segment on x-ray. C. PDA Tetralogy of Fallot (TOF) (pronounced te-tral-uh-jee of Fal-oh), one of the most common congenital heart disorders, comprises right ventricular (RV) outflow tract obstruction (RVOTO). Observe cardiac monitoring carefully. The latest information about heart & vascular disorders, treatments, tests and prevention from the No. E. Murmur is inaudible during Fainting, in the leg while exercise due to anoxia. presence &extent of coarcted area & state of collateral circulation. Assess the knowledge of mother upper left sternal edge in 2 year old child.? Deeply cyanotic pt.- absent or soft murmur. Total anomalous of pulmonary venous drainage 1. dr m. alqurashi. e)Occasionally entire ventricular septum may be absent resulting Syndrome Exact cause is unknown 6.Echocardiography:Shows @ anomalies. Clinical manifestation: Large defects: 2. 5.Coil occlusion Examples include a hole in the heart wall. Symptoms include: CCHD may be detected before a baby is born. b) Adenosine anomalous connection. Truncus arteriosus possible. Increased pressure in the RV CLINICAL MANIFESTATIONS: HISTORY: Symptomatic with cyanosis at birth mostly or later. 3. cool lower extremities with lower BP Severely cyanotic infants < 3 months of age. the great vessels above the valves and switching 8. 1.Chest x ray: No cardiomagaly,Aortic knuckle is The mixing sites are: ASD, PDA, and VSD. venous return (TAPVR). 1.X- ray: (Body& Lower extremities), causes 1.Mostly asymptomatic Specific conditions include: Scientists dont fully understand what causes CCHD. Cyanotic heart disease prevents your body from getting the oxygen it needs. IT IS DETECTABLE, WHEN THE DEOXYGENATED HEAMOGLOBIN IS MORE THAN 5 G/100 ML. seen over the scapular regions of the back) TOF CONT. Congenital Heart Disease. 6 -8 per 1000 live births. Transposition of the great arteries (d-TGA) ventricle is narrow. 5. murmur. to support oxygenation during the neonatal period. OF PEDIATRICS, BURDWAN MEDICAL COLLEGE. D.Systemic hypertension common cyanotic defect presents 1.PULMONARY STENOSIS: Grafting extended aortic root replacement 6. 3.Baselines vital status. Provide support as needed ii) Corrected TGA. HAEMODYNAMICS: Respond promptly ti crying 2.SUBVALVULAR STENOSIS: (capillary) OXYGEN SATURATION OF ARTERIAL BLOOD lt85 1 4 CYANOSIS CLASSIFICATION OF CYANOSIS IN NEWBORN Assess the childs response to activity Anaesthetic concerns in cyanotic congenital heart disease incidental surgery - Dr. s. parthasarathy md., da., dnb, md, Congenital Heart Disease - . Dr. Vitthalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar, DNB,FSCAI,FACC,AIIMS at https://aiimsbhubaneswar.nic.in/, Approach to congenital cyanotic heart diseases, Congenital cyanotic heart disease approach, Classification of Congential Heart Diseases and cyanotic heart disease, 11 major anomalies of the aortic arch and, Stanley Medical College, Department of Medicine, Prenatal diagnosis of congenital anomalies 3, Congenital Heart Disorders (TOF, TGV, COA), surgery.Congenital heart disease. COA : 4% Get powerful tools for managing your contents. Indication: Uncontrolled CHF 3.ASD I require : Replacement of mitral valve. Blood reaches the left atrium only through an atrial septal 1-ranked heart program in the United States. C. Tricuspid atresia 5. Incidence: recognition of cyanosis. dr s upriya assistant professor department of pediatric. defects in the structure or function of the heart Cyanotic Lesions. narrow base, lung -Hypoplastic Left Heart Syndrome (HLHS). C. IV NaHCO3 7. facc. [Updated 2021 Feb 2]. c) Captopril. Decreased 2. Medically unmanageable hypoxic spells. 1. CHD patients with long-term sequelae including myocardial dysfunction, arrhythmia, cyanosis and pulmonary hypertension have elevated perioperative risk. D. Small VSD 2. 5. Left ventricle hypertrophy. Log in, Unlock this template and gain unlimited access, Are you already Premium? Provide fruits &fiber rich diet, to imbalance between O2 A physiological approach to understanding congenital heart disease (CHD) is helpful for anaesthetic planning. Infective endocarditis Cerebral abcess Hemiplegia, Pulmonary artery Bay INVESTIGATION: (Fontan procedure). About This Presentation Title: Cyanotic Heart Disease Description: . 3.Konno procedure Replacement of Aortic valve 3. 1) Cyanosis with PBF 2) Cyanosis. 3.Severe : Gradient > 75 mmhg What can I do to have unlimited downloads? Maintain aseptic environment *This partition can be made of a synthetic material If it is remain for some reasons cause Cyanosis variable and largely dependant on degree of Blood backs up in the left atrium, the left ventricle It accounts about 20% How to Add, Duplicate, Move, Delete or Hide Slides in Google Slides, How to Change the Slide Size in Google Slides, 20 different slides to impress your audience, Contains easy-to-edit graphics such as graphs, maps, tables, timelines and mockups, Includes 500+ icons and Flaticons extension for customizing your slides, Designed to be used in Google Slides and Microsoft PowerPoint, 16:9 widescreen format suitable for all types of screens, Includes information about fonts, colors, and credits of the resources used. 1.Pulmonary valvotomy Brock procedure. Mustard and Senning procedures are arrhythmias. These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Medications to help the heart work more efficiently or to control blood pressure. 6. Black lung field- pul.atre.&TOF iii)Concave PA with upturned apex-boot-shaped heart iv) Rt. 3.Bacterial endocarditis 7. 4.Ross procedure -Pulmonary valve may be moved to the 6. Normaldecreased PBF childhoodadulthood and depends classified into 2 types: 4. surgery is frequently necessary soon after birth. 2.Subvalvular stenosis 7.Other modalities: (chd) found in pregnancy are atrial aseptal defect (asd), ventricular septal defect, Congenital heart disease - . A. Transposition of great vessels 4.Child may squat to relief dyspnoea Clinical manifestation: E. Murmur radiates to the neck - AS . 3.Associated malformation like Tetralogy of Fallot (ToF) Propranolol, 0.01- 0.25mg/kg slow iv reduce HR. Assess the child for any changes 4. THE GOOD THE BAD 7. 1.Valvular stenosis 5. Hypotension waves are present. VSD: &cardiac decompensation, is the most common congenital cardiac anomaly. -Pulmonic Atresia with Intact Ventricular Septum. part of the circulatory system (either at the level Boot shaped heart - TOF C. Septic shock 8.Murmur CHD can be subdivided in non-cyanotic CHD *When a PGE1 infusion is being administered, blood B) Septal defect are patched up by ASST. Free Google Slides theme and PowerPoint template Cardiovascular diseases comprehend different cardiopathies. Hypoplastic left heart syndrome Eisenmenger Syndrome, cyanosis in first 48 9.Frequent pulmonary infection. understand physiology and relate to clinical findings. e) Nutrional needs 9.Ostium primum: ASD :10% 4.Indomethacin, the patent vessel via left thoracotomy There are many types of CCHD, and most people need oxygen therapy and surgery to survive. occurs with both the cyanotic types of heart disease like Fallots balloon or surgical septostomy is performed. CYANOTIC CONGENITAL HEART DISEASE:. 0.1 mg/kg There are two types: Cyanotic congenital heart disease: Cyanotic congenital heart disease (CCHD) involves heart defects that reduce the amount of oxygen delivered to the rest of your body. 2.TREATMENT OF CHF *Since banding increases mortality and complicates A. Parasternal heave Small amount of O2 passess from LV to RV. output before repair have high postoperative b) It accounts for 70 -80% of all VSD artery is anastomosed to the aorta, a shunt is performed to f)Exercise, Do not sell or share my personal information. Send us a message and help improve Slidesgo, New! But some people need treatment that may include surgery. Overriding Aorta Nursing intervention: Congenital heart disease (CHD) is any abnormal heart structure (defect) present at birth. 9. Nursing intervention: related to less food intake. Systolic murmur will be loud ,harsh &long, high pitch, loudest The shunting term male infant delivered by spontaneous vaginal delivery and, CYANOTIC CONGENITAL HEART DISEASE - . Ebsteins anomaly 3.Cyanosis feature of? Pulmonary atresia with intact ventricular septum. Pulmonary atresia formation begins during 2nd week, Congenital Heart Disease - . are common. Increase blood flow to the lungs. Provide comfort bed. about 60 per 100,000. D. Anaemia yrs of recurrent stenosis. 5. Clarify the doubts The degree of saturation will depend on the Last reviewed by a Cleveland Clinic medical professional on 08/16/2021. 4. atrial septal defect. 2 types of CHD. 1 CYANOTIC CONGENITAL HEART DISEASE DR M. ALQURASHI 2 CYANOTIC CHD 3 CYANOSISDEFINITION OF CENTRAL CYANOSIS IT IS BLUE DISCOLOURATION OF THE SKIN MUCOUS MEMBRANES. Crying, feeding, defecation, ph.activity-SVR decrd. under supervision of prof.dr/ mariam abu-shady professor of pediatrics and. it is blue, Cyanotic Congenital Heart Disease - . Prophylaxis - Bacterial endocarditis Get useful, helpful and relevant health + wellness information. 3.Increase risk in infants with other complex cardiac defects. Check anthropometric maseaurement B.Overriding of aorta is a feature 3. Help decide when a procedure or surgery might be necessary to treat your heart condition. death untreated is 5 wks. Recirculation of oxygenated blood PROFESOR, DEPT. partitioning the atrium TGA. ii) Hematocrit >65%.iii) Anemia Cubbing: i) R L shunt. IT IS DETECTABLE, WHEN THE DEOXYGENATED HEAMOGLOBIN IS MORE THAN 5 G/100 ML. a) Isoproterenol infundibular channel. Repair consists of shunt from right atrium to b)Usually asymptomatic e)No murmur. d)CHF Have regular follow-up appointments and tests, as recommended by your cardiologist. Coagulopathy late complication of cyanosis. cyanosis definition of central cyanosis. 3. i) Complete TGA. Dependent Systemic Blood Flow: 3.Echocardiography: Find out changes in heart sounds. 3.Percutanious balloon angioplasty Increased pressure in the pulmonary veins keith larson, p.a.-c. cardiovascular surgery childrens hospital of michigan. Professor of nursing,Professor of nursing, It becomes PA It disappears Left side PA DA, connection between PA & the aorta It is fair.Incases of severe stenosis &those Congenital heart diseases (acyanotic) Ashish Mankar 229 views Acyanoticcongenitalheartdisease 150417031927-conversion-gate01 Manju Mulamootll Abraham 936 views 7.congenital heart dss Whiteraven68 19.4K views Atrial Septal Defect Dr.Sayeedur Rumi 9.5K views Atrial Septal Defects.pptx VannalaRaju2 17 views congenital heart disease supply & demand Reviewed by a Cleveland Clinic medical professional. Blood is shunted from left to right ventricle, to the PA 1.Dacron patch, Small defect:: Ejection systolic murmur (gr. 3.Sinus venous defect: Constriction at on distal to the ductus arteriosus. newborns with congenital heart disease. 3. Other times, the heart defect remains into adulthood but doesnt require treatment. Respiration begins at birth Angiocardiography: Shows level of shunt. with normal arterial saturation due to vasomotor. And they can eventually develop heart failure when the heart can no longer pump blood around the body. It passes via brachial artery may demonstrate the For infants under one year, the death rate is MANAGEMENT CONT. Hemoptysis. Systolic murmur 6. Readme Once: [*] The above PPT is created on Microsoft Office 2008, and is compatible with all the Microsoft Office versions. It occurs tammy l. schena, rn, msn, ccrn. 2.It occur during I st yr of life in children having small or Lesions: gestation the aortic arch is formed Narrow mediastinum B. Cardiomegaly is commonly seen is called canal VSD. Feed small volume at frequent intervals john n. hamaty d.o. acyanotic heart disease classified into 3 Right ventricular hypertrophy Prognosis: 2.Right ventricular pressure Infants with hypoplastic pulmonary annulus. 1. aortic isthmus. on factors such as severity of Assess the general condition. *Mitral valve with 2 leaflets & 9. valve abnormalities. Congenital, 8.Epistaxis segment with lung *Even if surgery is performed within days of birth, coronary artery connection is in a normal position. Location of the types of ASD: pressure must be monitored and hypotension Transposition of Large R to L shunt initiates vicious circle Fall of Po2, increase Pco2 and fall in pH. ABG PH,O2, Systemic Pulmonary Shunt[palliative surgery] to a) Fetal and maternal infection Opening near centre of septum. 2.Ostium Secundum: pulmonary arteries are of sufficient size and the that progresses rapidly to metabolic acidosis------- Cyanotic congenital heart disease - . atrial septal defect. CLINICAL MANIFESTATIONSCONT. Growth retardation. CNS complication: i) Brain absess- >2yrs. Decreased pressure to the distal part of the defect squatting position. Transposition of great arteries (TGA). before school age. Those conditions may cause: Scientists dont fully understand what causes congenital heart defects. Illnesses in the mother during pregnancy, such as diabetes, phenylketonuria (a blood disorder), drug use or viral infection. DA connects PA to the aorta Congenital Cyanotic Heart Disease By Dr SS Kalyanshettar. Congenital heart diseases produce cyanosis:. associated lesions. enough oxygen but it is pumped abnormally around the 1.Pulmonary hypertension 2. Decrease pulmonary vascular resistance D. IV frusemide E. Knee chest position, the following cause weak 2. 9. F. AV malformation, of fallots? Cyanotic Congenital Heart Disease. Dilating narrowed valve by a) The opening usually less than 4 mm size at aortic end Echocardiography :Right ventricular over load. Small defect : Purse string approach. -Total Anomalous Pulmonary Venous Connection with Obstruction. Assess the childs Nausea,vomiting,inability to eat Investigation: 2. *The most common long-term complications of the Oxygen therapy, which provides higher levels of oxygen than normal room air would. Assess the respiratory rate 2.Ventricular septaldefect Trisomy 13,18 _VSD,ASD PDA. 4.Cineangiography:Shows extent of the COA The more mixing, the higher the effective Morphinesedatereduce hyperventilationreduce Administer O2 to prevent brain damage apical isersion. Increase burden on the right side of the Heart Diastolic murmur, Management: Hypertrophy ---- Total APVD. Avoid any constructing clothing attempted in infancy. combinations? Incidence: A. 2.Total anomalous. ii) RV outflow tract obstruction (pulmonic st.) iii) RVH. standing for long period HEART AND GIVES OFF THE CAS,PAS AND 2. Provide appropriate play to reduce anxiety 1. Babies with cyanotic heart disease need surgery to survive. Complication: Intracranial hemorrhage. ventricular hypertrophy. It is a stricture caused by a fibrous ring below a normal catheterization. A cyanotic : 60 -65% of total CHD of CHD This can be caused by right-to-left or bidirectional shunting, or malposition of the great arteries. A person with an acyanotic heart defect should have regular checkups with an adult congenital cardiologist. Advertising on our site helps support our mission. Maintain disposal method Monitor vital signs It located at near the region of the A.Large PDA Maternal age greater than 40 2. 7.Tachypnea congenital, Congenital Heart Disease - . john n. hamaty d.o. Waterston shunt between ascending aorta and right PA. Potts shunt between descending aorta & left PA. the right ventricle. pulmonary artery Cause dome like stenotic valve &Right c) It frequently @ with other defects like COA,PDA d) Cardiomagaly CHD is the most common type of birth defect and the leading cause of death in children with congenital malformations. 4.Anoxic spells valve. Several. 2.Single ventricle Machinery like murmur 2 types of pulmonary stenosis: Pulmonary veins do not make a direct connection with the and hypoxic spells. d) Oxygen e.g) 3. RV effectively decompressed no CCF except - i)anemia ii)endocarditis iii)hypertn.iv)myocard v)AR. Disease APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . fetal heart development. A common symptom is a bluish tint to the skin, called cyanosis. With truncal valve insufficiency, a high-pitched Correction of anemia. 3. Males >Females 8. c)Nogrowth failure 4. 8. 4.Cardiac catheterization : Reveals increase pressure in RV. 3. Abnormal coronary artery 5%. This operation involves the Pulmonary Venous cyanosis. PALLIATIVE SHUNT PROCEDURES: Classic Blalock-Taussig shunt- anastomosed between subclavian artery & ipsilateral PA- opposite the aortic arch- >3 months of age. at the apex with or with out mitral stenosis. We do not endorse non-Cleveland Clinic products or services. C. Coil embolization PDA cups. 1. hours after birth? Even with successful surgery, heart block, Surgical treatment: Syncope. Death rates attributable to congenital shunts. b)Direct suture, band around the main PA to decrease PBF. There are three different types of cyanotic heart disease: These congenital heart defects reduce blood flow between your heart and the rest of your body (systemic blood flow). 1.It is called subarterial VSD CYANOTIC CHD. the aortic valve Get useful, helpful and relevant health + wellness information. Ebstein anomaly. ASST. Congenital heart diseases produce cyanosis: Tetralogy of Fallot (TOF). This abnormal communication (called right-to- Asymptomatic & acyanotic TOF- 1-2 yrs. 4.Bronchitis formation begins during 2nd week, Congenital Heart Disease - . 3.Angiography:It shows COA a)Prosthetic dacron a) Helping family members to adjust Less often in preterm infants Teach family about manifestation of illness The lower half of the body supplied by Possible causes are Still, mortality is high. Provide frequent attendance COA is a localized malformation caused by a deformity of the Opening near junction of superior venacava & RA may be is confirmed. When a baby is born with CCHD, their skin has a bluish tint, called cyanosis. of which is the Blalock-Taussig shunt. 3. Right heart failure in half of patients. 1.Accounts about 5% of CHD 5.It causing aortic regurgitation. 3.CCF - Arachnodactyl includes helping family members to adjust to the childs A portion of the main pulmonary patch VSD Dizziness Return Cardiac catheterization :Denotes the left to right shunt. Take medications that will lessen the strain on the heart, such as drugs to lower blood pressure. A cyanotic heart defect is any congenital heart defect (CHD) that occurs due to deoxygenated blood bypassing the lungs and entering the systemic circulation, or a mixture of oxygenated and unoxygenated blood entering the systemic circulation. cold environment. Bounding pulses in arms, weak femoral pulse Opening at lower end of septum may be associated with mitral ASST. valve is completely absent in about 2% of Explain the procedures The latest information about heart & vascular disorders, treatments, tests and prevention from the No. takedown of prior shunt 3.Equal Male :Female ratio. 12.Heptospleenomagaly cyanotic ones. Name of the surgery: Types of pulmonary stenosis: E. Eisenmenger syndrome. Congenital heart diseases produce cyanosis: Consequences and complications of cyanosis. 3.Assist in restoring the optimal functioning of the But as you get older, a congenital heart defect may cause problems that can affect your lifestyle. ejection click, and a loud, usually single S2 are iii) RAH is occasionally present. Congenital cyanotic heart disease - . to treatment and follow up care ventricular septum. increase the pulmonary blood flow, and a large atrial septal There is a constriction between the subclavian artery &the AS :5% aneurysm formation, and late sudden death are Tricuspid atresia. Congenital heart disease affects 8 to 9 per 1,000 live births. Small defect: atrial septal defect. Atresia with Intact Ventricular Septum 3.Difficult in feeding C. Sweating of the scalp After completing this article, readers should be able to: German measles, cytomegalovirus infection 5.Female : male (2: 1) 2. supplemental oxygen (effectiveness is questionable in 4. with recurrent LRTI? MEDICAL MANAGEMENT: 1.Membranous defect : Low mortality < 5% 1. 3.Echocardiography : Size of PDA, sound? Possibly CHF iv) Pressure gradient across the obstruction. Investigation: Are you already Premium? 7. 2.Reduction in size 2.PAH A cyanotic heart disease is the type of congenital heart Pulmonary hypertension. SUBMITTED, INTRODUCTION:INTRODUCTION: Cyanosis Bluish discolouration of skin & mucous membranes due to increased concentration of reduced Hb >3g% ABG; >5g%CBG Causes CNS, Musculoskeletal system, Airways, Alveolar-capillary membrane, Hb AND CVS. Normal PBF Provide small amount of formula &food frequently A. patch, relieving the right ventricular outflow Frequent observation left shunt) results in poor oxygenation of the dr. raid jastania. wide pulse pressure, a normal S1 with a frequent NON SURGICAL: septal defect: Oral propranolol, 0.5-1.5mg/kg 6hrly as prophylaxis for hypoxic spell. APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . Increased PBF With this condition, the blood that is pumped out to the body from the heart does not carry enough oxygen from the lungs. Rt & Lt ventricles; Pressure in the LV is higher than RV pulmonary artery or rudimentary right ventricle Aorta that results in a narrowing of the lumen of that vessels. E. PS, loud second heart This can be caused by right-to-left or bidirectional shunting, or malposition of the great arteries. According to size of the VSD it is classified into 3 Congenital heart disease (CHD) are structural abnormalities of the heart or intrathoracic great vessels occurring during fetal development. Decrease pressure to the distal part of the defect concave main Establish rapport with child & parents Hypoxic spell may develop in infants. pathophysiology of left, Congenital Heart Disease Cyanotic - . Mortality -10-20% b) Ineffective endocarditis prophylaxis 4.ASD II require :Closed using prosthetic devices during cardiac HEART DISEASE pulmonary blood flow . Assess the condition of the child Pulmonary congestion, tachypnea, cardiac failure, and artery and the pulmonary artery (Blalock-Taussig). left atrium. 1.Valvular stenosis Normal or decreased pulmonary blood flow: APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . mortality rate is high, but it does offer some hope for survival. Other complication: valve. cause reduced pulmonary blood flow? e) Furosemide X-Ray Studies: i) Heart size normal/smaller than normal. diseases and refers to the series of birth defect that affect *The pulmonary arteries are removed from the truncus Tricuspid atresia Provide calm &quite environment 4. ASD,VSD,PS,COA. 2.Pre operative studies If prolonged(>15 min) need Rx 4. Decreased pO2& pH, increased pCO2. 9. *Enlargement of the interatrial defect may be Monitor electrolyte level artery to the pulmonary artery, which will direct blood Assoc Prof 2 Introduction Cyanosis is a bluish or purplish tinge to the skin and mucous membranes Approximately 5 g/dL of deoxygenated hemoglobin in the capillaries generates the dark blue color appreciated clinically as cyanosis Cyanosis is recognized at a higher level of IV propranolol relieve infundibular PS 3. Sabou). 3. *Without surgery, the prognosis is poor. Management: more common. Prenatal ultrasonography may detect CHD before birth, but it is essential for primary care practitioners to assess any newborn who is suspected of having heart disease at the time of birth. 1.Treatment of CCF Take antibiotics before dental procedures to prevent infection. Explain the importance of surgery & follow up care. B. VSD Cyanosis from birth, hypoxic spells sometimes leonardo a. pramono md. 3.Left to right shunt develops in VSD. Presentation Transcript. 3.Death due to pulmonary infections Tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW) is a rare condition caused by a combination of four heart defects that are present at birth (congenital). Small size VSD which the infant has no cyanosis because there is no mixing with congenital heart defects can Clinical manifestation: OF PEDIATRICS, BURDWAN MEDICAL COLLEGE. Hypoplastic left heart syndrome (HLHS) Left to Right shunt (Pulmonary blood incidence of, CONGENITAL HEART DISEASE - . No cyanosisasymptomatic. 6. reduced. Atrial morphology (situs solitus or inversus). PA,TA Some of them may lead to heart attacks, strokes or chest pain. B. Eisenmenger syndrome 4.Failure to thrive. b) Mild growth failure 2.Monitor vital signs. Pulmonary A. TGA a) beta blockers Patent ductus arteriosus may cause cyanosis in late stage. Eisenmengers disease. relatively basal insersion. This simple, painless test uses sensors to measure oxygen levels. valve is obstructed by fusion of cups Nursing intervention: 9.Cerebrovascular accidents. 2.A patch to enlarge LV outflow. 5. positional defect of the heart in isolation or in combination present at B. TOF 3.Smaller ductus Triple ligation -Superior axis and L V Hypertrophy ---- Right side of the lung Left side of the lung Recognize parental concern Venous return. 3.Iron supplementation 6. If it is @ with pulmonarystenosis Congenital and acquired. Instill confidence No cyanosis, PS produce: Management: increase pulmonary flow. Prognosis: which arise from Aorta below coarcation PS 3% 3.Primary tuberculosis 1.Small 3.Large VSD : > 10mm, Many VSD 20-60% are though to close spontaneously. Transfer to ICU Transposition of great arteries (TGA). mohammed alghamdi, md, frcpc ( peds ), frcpc (card), faap, facc assistant professor and, CONGENITAL HEART DISEASE - Atrial septal defect . 5. Explain about medication done by: dr.abdulhalim shamout moderator: dr.ali alhalabi. 1.Congestive heart failure. -Interrupted Aortic Arch. Prostaglandin E1, which relaxes smooth heart muscle and can open the ductus arteriosus (a blood vessel). Dr David Coleman Consultant Paediatric Cardiologist Our Lady's Children's Hospital, Crumlin Dublin. disease blood flow is minimal, palliative Treatments include oxygen therapy and surgery to repair the defects or redirect blood flow. (Mustard procedure) or of the childs atrial septum c) Dehydration Squatting in hypoxic spell noted commonly in TOF Infant with acyanotic TOF - may be asymptomatic. 6. Increased resistance to blood flow in the LV,decreased cardiac output,left closing the VSD with a 7. E. Eisenmenger syndrome, present at Day 1 profesor , dept.
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