NR 328 PEDIATRICS STUDY GUIDE 2
-Cardiac cath is used to fix ventricular septal defect or atrial septal defect.
When its in ventricle its worse
Deoxygenated and oxygenated blood go to arota
Can cause congested heart failure.
Acynotic or cyanotic ??
With cath can diagnosis or treat - through right femoral artery
They put mesh that seals up whole
The mesh is a foreign body in the heart - they will have endocarditis prophylaxis (antibiotics w/
dental and invasive procedures.)
watch for bleeding (will have pressure dressing on until doc removes a few days later)
If they feel wet or say they feel wet - check for blood soaking
If there is then put pressure above the level of access site (femoral artery )
They will have poor pulses distally on the side that had the insertion for about an hour. It will be
weak not pulseless. Call doc if absent or really poor. (Numbness or tingling)
Vitals - cardiac arrhythmia (HR, RR, BP, check apical heart rate {60 sec}
More worried about bradycardia than tachycardia
If pt is coming back from cardiac cath and checking for distal pulse and it is weak just chart it, if
it is absent then call doc ASAP
Heart failure in kids -CHF- is a consequence of underlying defect
, Use digoxin - check apical pulse
1-3 yrs 90 -110 bpm (hold dig for less than 90)
Infant hold for less than 100bpm
Number 1 sign of dig toxicity is vomiting
If they are taking liquid meds or dig make sure families arent using household utensils - have
them use a calibrated syringe
If they have to mix med with food, mix with the smallest amount of food
If child is gain or losing weight very quickly, it is typically fluid from heart failure
Add more calories to what they are eating
Do not eliminate fat because they need it for nuero and brain development (children under
too)
When evaluting infant you are looking for appropriate weight gain. Steady and slow
Tet spell - hypercynotic spell
What is the first priority with infant when they have hypercyanotic spell - put in knee to chest
position - to decrease demand on heart, first action. Oxygen may be needed but knee to chest is
first
P - Pulmonary stenosis - narrowing
R - right ventricular hypertrophy - right ventricular is enlarged
O - over-riding arota -
V - ventricular septal defect
€
-Cardiac cath is used to fix ventricular septal defect or atrial septal defect.
When its in ventricle its worse
Deoxygenated and oxygenated blood go to arota
Can cause congested heart failure.
Acynotic or cyanotic ??
With cath can diagnosis or treat - through right femoral artery
They put mesh that seals up whole
The mesh is a foreign body in the heart - they will have endocarditis prophylaxis (antibiotics w/
dental and invasive procedures.)
watch for bleeding (will have pressure dressing on until doc removes a few days later)
If they feel wet or say they feel wet - check for blood soaking
If there is then put pressure above the level of access site (femoral artery )
They will have poor pulses distally on the side that had the insertion for about an hour. It will be
weak not pulseless. Call doc if absent or really poor. (Numbness or tingling)
Vitals - cardiac arrhythmia (HR, RR, BP, check apical heart rate {60 sec}
More worried about bradycardia than tachycardia
If pt is coming back from cardiac cath and checking for distal pulse and it is weak just chart it, if
it is absent then call doc ASAP
Heart failure in kids -CHF- is a consequence of underlying defect
, Use digoxin - check apical pulse
1-3 yrs 90 -110 bpm (hold dig for less than 90)
Infant hold for less than 100bpm
Number 1 sign of dig toxicity is vomiting
If they are taking liquid meds or dig make sure families arent using household utensils - have
them use a calibrated syringe
If they have to mix med with food, mix with the smallest amount of food
If child is gain or losing weight very quickly, it is typically fluid from heart failure
Add more calories to what they are eating
Do not eliminate fat because they need it for nuero and brain development (children under
too)
When evaluting infant you are looking for appropriate weight gain. Steady and slow
Tet spell - hypercynotic spell
What is the first priority with infant when they have hypercyanotic spell - put in knee to chest
position - to decrease demand on heart, first action. Oxygen may be needed but knee to chest is
first
P - Pulmonary stenosis - narrowing
R - right ventricular hypertrophy - right ventricular is enlarged
O - over-riding arota -
V - ventricular septal defect
€
