Practicum III Peds Congenital Heart Dz

Question Answer
Most common birth defect in newborns Congenital Heart Dz
Orifice btwn the RA & LA FORAMEN Ovale
Shunt from Pulmonary Artery to descending aorta Ductus Arteriosus
Cardiac defect that INCREASE left to right shunt ASD, VSD, PDAs, Endocardial cushion defects
PDA closes with _____ & _____ INDOMETHICIN & increased O2 concentrations
_____ keeps PDA open Prostaglandin
Right subclavian blood that supplies right hand/extremity PREDUCTAL
Blood supply to left hand/lower extremity POSTDUCTAL
Anesthesia plan for PDA ligation High DOSE opioid, Muscle relaxation, SMALL AIR leak, ICS nerve block
Most common type of ASD Ostium SECUNDUM
Three types of ASDS Sinus venosus, Ostium secundum, ostium primum
Ostium Primum can cause what cardiac dysfunction Mitral valve insufficiency
Ostium Secondum can cause which type of dysrhythmia afib/aflutter
two types of repairs for ASDs surgical & transcatheter
Anesthesia technique for ASD Short acting anesthetic technique/early extubation
The most common type of congenital heart defect in children VSDs
Most common type of VSD TYPE II (membranous/infracristal)
Eisemengers Phenomenon When L to R shunt reverse r/t in increased pulm HTN
AV canal defects seen in what childhood dz MR (trisomy-21) & DiGeorge's
Sensitive to negative chronotorpic meds, brady, large tongue, occipital instability Considerations for MR
Tetralogy of Fallot, Pulmonary Atresia, Tricuspid Atresia, Epstein's Anomaly Heart defects that increase RIGHT to LEFT shunt
VSD, RVOT (right ventricle outflow tract), Overriding Aorta, RV hypertrophy Tetralogy of fallot
100% 02, Hyperventilation , IVF bolus, Sedation/Analgesia, Vasoconstriction (Neo, Levo, Ketamine) tx for TetOfFallot
BT Shunt for TOF increase pulmonary BF (shunt subclavian to pulmonary artery)
BP cuff is ALWAYS on _____ side of BT shunt Opposite
in TOF pulmonary BF is dependent on SYSTEMIC BP increase BP –> increase SATs
O2 sats GOAL in HLHS 75-80%
Staged reconstruction of HLHS Norwood, Glenn, Fontan)
Make AORTA larger then BT shunt Norwood
Goal of HLHS maintain balance btwn pulmonary & systemic circulation
Stent PDA, Balloon FO, Band Pulm arteries HYBRID procedure for HLHS
SVC disconnected from RA then anastomosed to PA Glenn
All venous drainage (SVC & IVC) anastomosed to PA Fontan
Monitors needed for HEART sx 5-lead, 2 pulse ox, temp (naso/brain & bladder/systemic), Aline (femoral), CVP
CaCl, Bicarb, Atropine, Neo, Lido, EPI EMERGENCY meds needed to be drawn up for CARDIAC sx
Inotropes needed for CV surgery Dopamine, Milrinone, Epinephrine
used to DECREASE Pulm Vascular Resistance NITRIC OXIDE (connect to INSPIRATORY slide)
induction agent used for pts with R to L shunt KETAMINE
Pre dental abx are giving to pt with HIGH risk of adverse outcomes resulting in _____ Infective Endocarditis

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