STUDENT NAME _____________________________________
Persistent Pulmonay HTN
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
severe pulm HTN, large increase in PVR, PA pressure >
symptoms & history aortic pressure causes ductus arteriosus to remain open, oxygenation/ECMO (if needed),
echocardiogram foramen ovale remains open, severe hypoxemia, no
response to O2.
hand hygeine, low stimulation meds
pre&post ductal O2 sats for vasodilation & oxygenation
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings oxygenation &
long term disabilities, heart failure, usually 12-24h after birth, increased oxygen monitoring
death, mecomium aspiration, respiratory distress, tachypnea w/ minimal hygeine
retraction, cyanosis, poor perfusion,
RDS, diaphragmatic hernia refractory hypoxemia
standard
precautions
limit visitors
limit stimulation
Laboratory Tests Diagnostic Procedures
ABGs, CBC, CMP, Chest X-ray echocardiogram, pre & post ductal
O2 sats
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education long term
recovery period, good
disabilities
improve alveolar sedation meds
hygeine, keep baby away from
oxygenation, decrease paralysis meds large crowds, screenings from heart failure
PVR, BP monitoring, O2 PCP regularly
monitoring inhaled nitric
oxide
sildenafil
Therapeutic Procedures Interprofessional Care
little stimulation Flolan RN, PCP, Pharmacy, RT
ECMO
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11