S&S of Infant w/ HF • Cool extremities • Peripheral edema • Nasal flaring Cardiovascular Changes @ Birth • Fetal circulation has structures in place to bypass the lungs such as  ductus arteriosus (connects aorta & pulmonary artery) & foramen ovale (connects R & L atrium) Pediatric Indicators of Cardiac Dysfunction • Cyanosis (oral mucosa) • Pale • BP • Pulse • Weight & growth • Adequate feeding tolerance • Look @ chest rise & heaves (added fluid that loo...