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CCAC NRN 102 (CH 48)
CCAC NRN 102 Cardiovascular Dysfunction (CH48)
| Question | Answer |
|---|---|
| What is the most common congenital cardiac anomaly? | Ventricular septal defect |
| What three structures of fetal circulation must change in the transition to extrauterine circulation? | Ductus Arteriosus, Ductus venosus, and Foramen ovale |
| Congenital heart defects are classified in two groups hemodynamically, what are they? | Increased pulmonary blood flow and decreased pulmonary blood flow. |
| What type of shunting occurs in defects that increase pulmonary blood flow? | Left to right. |
| What are the defects which make up the group that increase pulmonary blood flow? | ASD, VSD, and PDA |
| Obstructive defects are those which cause narrowing or stenosis. The location of the narrowing is classified by the location near the valve. What are they? | Valvular - at the valve Subvalvular - narrowing in the ventricle below the valve Supravalvular - in the great artery above the valve |
| Which defects are classified as those with decreased pulmonary blood flow? | Tetrology of Fallot and Tricuspid atresia |
| Which defects are in the mixed category? | Transposition of the great arteries, truncus arteriosus, Total anomalus pulmonary venous connection, hypoplastic left heart syndrome |
| What defects constitute tetrology of fallot? | Pulmonary stenosis, VSD, overriding aorta, and right ventricular hypertrophy |
| What is the surgery of choice for Transposition of the Great Arteries? | Arterial switch |
| What is the first intervention the nurse must do for a child having a hypercyanotic episode? | Place the child in knee chest position. |
| What medication is given to infants born with a congenital heart defect to keep the ductus arteriosus open? | Prostaglandin E |
| What physical evidence occurs as a result of chronic hypoxia? | clubbing of the fingers |
| What does the occurence of hypercyanotic spells indicate? | The need for prompt surgery if possible. |
| How long must a child receive antibiotics for prevention of bacterial endocarditis? | lifelong |
| When a child has an infection with group A B-hemolytic streptococcal infection, what heart disease can follow? | Rheumatic fever |
| What is a complication of Rheumatic fever? | Cardiac valve damage |
| Which congenital defect is most often the need for cardiac transplant in children? | Hypoplastic left heart |
| What are the most common tests used in assessing cardiac function | Chest x-ray, ECG, Echocardiography, and cardiac catheterization |