congenital heart disease - --abnormalities the greatest pressure, atrium or ventricles?
in the heart that occurs during the *1st 8 wks of
fetal development*
-*most common birth defect* acyanotic CHD - --decreased or prevent
*systemic circulation*
-*left-right shunts*
-400 mcg of *folic acid* during pregnancy -prevent systemic blood flow
-preconception *vaccination for rubella*
-management of *diabetes & PKU*
-discuss any *OTC & prescription meds* cyanotic CHD - --decreased or prevent
-*avoid* flu & other illness *with a fever* *pulmonary blood flow*: blood is NOT getting
-*avoid* exposure to *organic solvents * completely oxygenated
-refrain from *smoking* - -How can we -*right-left shunts*
prevent CHD?
-atrial septal defect
within 6 months of birth - -When should the -ventricular septal defect
foramen ovale close by? -patent ductus arteriosus
-coarctation of the aorta
-pulmonary stenosis - -Which CHDs are
48-72 hrs after birth - -When should the classified as acyanotic?
ductus arteriosus close?
-tetralogy of fallot
increased pulmonary vascular resistance - -transposition of the great arteries or vessels -
-What feature of the neonate heart can -Which CHDs are classified as cyanotic?
mask left-right shunts?
-heart failure w/o cyanosis: periorbital edema,
-poor feeding SOB, adventitious breath sounds, abdominal
-tachypnea/tachycardia distention
-failure to thrive, poor weight gain, activity -heart murmurs
intolerance -difficulty feeding
-developmental delays: due to lack of nutrition & -increased perspiration
increased workload -exercise intolerance - -What are general
-prenatal history s/s of acyanotic defects?
-family hx of cardiac disease - -What are
general s/s of CHD?
atrial septal defect (ASD) - --opening
between *right and left atria*
left - -Which side of the heart has the -closed 2 to 5 yrs old
greatest pressure, left or right? -*acyanotic*
-*left to right shunt*
-if *tiny*, can be *closed w/ suture*; if *large*, it
ventricles - -Which part of the heart has may require a *patch*
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