NUR 254 EXAM 9
- FLACC scale
Answer Leg position, activity, consolibility, facial expressions, crying 2mths-7yrs
- Culture
Answer offer other options in conjunction with their norms
- congenital heart defects
Answer abnormalities present in the heart at birth
- acquired heart disease
Answer Heart disease that arises after birth, usually from infection
- ventricular septal defect
Answer
A-CYANOTIC= INCREASED BLOOD FLOW SXS
respiratory infection, poor feeding, fluid in lungs
**most common**
- atrial septal defect
Answer
A-CYANOTIC= INCREASED BLOOD FLOW SXS
murmur, resp distress, resp infection, SOB, poor feeding 1 / 3
**Leads to CHF**
- patent ductus arteriosus
Answer
A-CYANOTIC= INCREASED BLOOD FLOW SXS
sweating while feeding, increased weight gain, poor oxygenation
- coarcation of the aorta
Answer ACYANOTIC= Obstructive defect
SXS
BP increased in UE, BP decreased in LE, headache, LE thready pulse
- aortic stenosis
Answer ACYANOTIC= Obstructive defect SXS
chest pain, syncope, fatigue, exercise intolerance
- Pulmonic Stenosis
Answer ACYANOTIC= Obstructive defect
- Tetraology of Fallot
Answer CYANOTIC= Decreased blood flow Issues with 2 / 3
pulmonic stenosis, overriding aortic arch, VSD, right ventricular hyper- trophy
SXS
squatting, cyanosis, clubbing, syncope NI
KNEES TO CHEST FIRST
- Cardiac Cath
Answer Invasive
- blood thinners prior to cath
- contrast
NI
- lay straight 4-6 hrs
- monitor VS (pulses)
- no tub baths
- if bleeding occurs hold pressure 1 cm above site
- feed after procedure (monitor BS)
- comfort scale
Answer used to assess pain and distress in critically ill pediatric patients, relies on six behavioral and two physiologic factors that determine the level of analgesia needed to adequately relieve pain in these children
- cardiac meds
- / 3