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What medications have been associated with congenital heart defects?
- Accutane
- Lithium
- Anti-seizure
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Heart defects usually occur during the _______ trimester.
First (develop within first 8 weeks)
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CXR showed cardiomegaly and increased pulmonary flow, and ECG demonstrated ventricular hypertrophy. What defect would you suspect?
Ventricular septal defect
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Which intervention is highest priority post cardiac cath procedure?
Monitor for bleeding
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What discharge teaching is needed post cardiac catheterization?
Avoid tub bath for 48-72 hours
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Prostaglandin E is usually given with which type of cardiac defect?
Coarctation of the aorta (Prostaglandin E to maintain PDA open)
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What signs and symptoms are present with older children with CHF?
- Activity intolerance
- Dyspnea
- Abd pain or distention
- Peripheral edema
- Poor weight gain
- Low urine output
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What medications would you give in management of CHF?
- Preload/afterload (ACE inhibitors- Captopril, Enalapril)
- Contractility (Digoxin)
- Diuretics (Lasix, thiazides, spironolactone)
- Iron
- Antibiotics
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What procedure would bacterial endocarditis prophylaxis be recommended for?
TOF
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What are the nursing considerations when administering Digoxin (Lanoxin)
- SE: weakness, HA, n/v, arrhythmias
- Monitor for apical pulse, hold if <100 for infants
- GIven before feedings (oral dose)
- Therapeutic range (1-2 ng/mL)
- Monitor potassium levels
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