CCRN HEALTHSTREAM UPDATED ACTUAL Questions and CORRECT Answers

CCRN HEALTHSTREAM UPDATED
ACTUAL Questions and CORRECT
Answers
INTIAL STAGE IN REPAIRING HYPOPLASTIC LEFT HEART SYNDROME - CORRECT
ANSWER - NORWOOD



3 GOALS OF NORWOOD - CORRECT ANSWER - 1. USING THE PA TO INC
AORTIC BLD FLOW
2. ARTERIAL SEPTECTOMY
3. REPAIRING COARCTION VIA BT SHUNT


PURPOSE OF NORWOOD - CORRECT ANSWER - TO KEEP THE PDA OPEN VIA
PGE 1


WHAT IS THE ONLY ALTERNATIVE TO NORWOOD - CORRECT ANSWER -
HEART TRANSPLANT


AT WHAT AGE DO THE RISKS OF HLHS BECOME GREATER IF THE PDA CLOSES? -
CORRECT ANSWER - > 1MO



BLALOCK-TAUSSIG SHUNT - CORRECT ANSWER - BYPASSES THE
OBSTRUCTION OF PULMONARY BLD FLOW TO THE LUNGS BY SUBCLAVIAN-
PULMONARY REDIRECTING


WHEN IS THE B-T SHUNT USED - CORRECT ANSWER - STAGE ONE OF
NORWOOD + CYANOTIC HEART DEFECTS (TET OF FALLOT)


WHAT IS THE PATIENT OXYGEN SATURATION GOAL AFTER B-T SHUNT
PLACEMENT - CORRECT ANSWER - 70-85%

, (ANYTHING HIGHER LEADS TO OVER SHUNTING)


WHAT AND WHEN IS STAGE 2 OF HLHS - CORRECT ANSWER - GLENN SHUNT
B/W 6-9MO


WHAT IS THE PURPOSE OF A GLENN SHUNT - CORRECT ANSWER - TO INC
PULMONARY BLD FLOW BI-DIRECTIONALLY FROM THE SVC TO RIGHT PA


WHEN ARE GLENN SHUNTS NOT USED - CORRECT ANSWER - TET OF FALLOT


ALLOWS 1 VENTRICLE TO PROVIDE BLD FLOW TO THE PULMONARY AND
SYSTEMIC CIRCULATION - CORRECT ANSWER - FONTAN PROCEDURE (STAGE
3 OF HLHS)


BECAUSE PULMONARY BLD FLOW IS DRIVEN BY CVP... - CORRECT ANSWER -
PULMONARY VASCULAR RESISTANCE MUST REMAIN LOW


HOW IS CVP MAINTAINED IN THE FONTAN PROCEDURE? - CORRECT
ANSWER - WITH IVF
(one of the only exceptions in heart kiddos)


4 COMPONENTS OF TETRALOGY OF FALLOT - CORRECT ANSWER - 1. LARGE
VSD
2. RIGHT VENTRICULAR HYPERTROPHY
3. OVERRIDING AORTA
4. PULMONARY STENOSIS


4 KEY S/SX OF TOF - CORRECT ANSWER - 1. CYANOSIS
2. ACTIVITY INTOLERANCE --> TET SPELLS
3. BOOT-SHAPED HEART