Pediatric Congestive Heart failure
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| show | d/o of circulation in which cardiac output is inadequate to support the body's circulatory and metabolic needs.
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| show | Blood volume overload.
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| What are sx of CHF in infants | show 🗑
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| What are manifestations of CHF | show 🗑
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| show | exercise intolerance, dyspnea, abdominal pain or distention, and peripheral edema.
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| As CHF progresses, what sx are manifested | show 🗑
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| show | Cardiomegaly
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| If CHF is not tx, cardiogenic shock may occur; what are the sx of CS | show 🗑
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| what are dx test for CHF | show 🗑
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| show | make the heart work more efficiently and to remove excess fluid.
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| show | Furosemide and chlorothiazide (K+ supps may be ordered)
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| show | spironolactone.
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| what kind of medications are used to lessen the heart's workload and help it to work more efficiently ? | show 🗑
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| show | Digoxin (NOT DIGITOXIN)
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| show | correctional surgery or interventional cardiac catheterization
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| show | end stage cardiomyopathy or complex congenital heart defects like hypoplastic left heart syndrome.
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| what is other types of supportive medical therapy for CHF? | show 🗑
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| as diagnosis of CHF depends primarily on ________ nursing observations are important. | show 🗑
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| show | Digoxin
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| What diuretic promotes rapid diuresis | show 🗑
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| show | thiazides
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| show | ACE inhibitor
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| Beta blocker that increases contractility | show 🗑
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| Medication that improves left ventricular function, promotes vasodilation of systemic circulation for chronic heart failure and dilated cardiomyopathy | show 🗑
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| show | vitals, behavior, cardiac , resp, fluid status, detailed hx of onset of sx, (CHF develops slowly over time)
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| testing of developmental skills should be done with the __________ test. | show 🗑
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| show | decreased cardiac output r/t cardiac anomaly.
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| show | get baseline vitals, quality of pulses, clinical sx, and ECG, serum electrolytes, hepatic and renal fx, hydration and hypovolemia.
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| show | take apical pulse for 1 minute.
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| Before giving a dose of digoxin, you take the apical pulse and find that pulse is less than 60-100bpm or below 60 in teens, what should you do? | show 🗑
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| show | hold the medication and call a physician for advice.
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| show | digoxin and furosemide
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| show | Early sign is arrhythmias.
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| Serum digoxin levels are taken ______ hours after dose. | show 🗑
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| What is the therapeutic serum level of digoxin? | show 🗑
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| what level of serum digoxin is considered toxic in children ? | show 🗑
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| Serum digoxin levels should be closely monitored when child is also taking what? | show 🗑
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| show | I and O, wieighing infant diapers, 1g=1ml of urine, assess edema, and circulation, daily weights,
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| What should you do if child has abdominal ascites ? | show 🗑
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| show | turn the child freq. and provide skin care.
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| show | semi-fowlers or 45degree angle
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| show | prevent injury
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| show | rest periods each hour
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| What is a sign of increased respiratory effort ? | show 🗑
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| an infant should be held at what position during feeding ? | show 🗑
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| show | small frequent meals with rest periods in between
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| show | NG feedings supplemental
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| feeding should last no longer than ________ | show 🗑
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| children should engage in what kind of activity? | show 🗑
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| what kind of exercises should children do to promote large muscle development without over exerting themselves ? | show 🗑
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| Breast feeding should be encouraged because ______________ | show 🗑
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| What are the manifestations of a deteriorating cardiac status while feeding ? | show 🗑
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| The most important thing to teach when sending a child home to the parents is to teach _______ and ______. | show 🗑
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| What are the sx that CHF is worsening ? | show 🗑
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| An ______ in pulse rate can signal CHF and a ________ can indicate digoxin toxicity. | show 🗑
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| do not give any herbals with digoxin because it may cause ___________. | show 🗑
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| Digoxin should be administered at ________ each day and consistent in ___________ meals . | show 🗑
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