Pediatric Nursing: Alterations in Cardiovascular Function fully solved graded A+

Pediatric Nursing: Alterations in Cardiovascular FunctionCardiac Differences: Infants/Adults - correct answer -infants at greater risk for heart failure (limited heart capacity, greater metabolic needs, volume and pressure sensitivity) -infant hearts have less organization, less compliance, and reduced stroke volume Congenital Heart Disease: Definition - correct answer -A cyanotic lesions: usually see increase in palm. blood flow, L to R shunting, and obstructive, "wet lung" symptoms -Cyanotic lesions: R to L shunting, decreased palm/ blood flow, mixing of lesions, needs surgery Congenital Heart Disease: Assessment - correct answer -Auscultation: murmurs, fluid in lungs, tachypnea -Inspection: cyanosis, pallor, squatting, edema in face, fatigue, poor weight gain or fluid weight -Palpation: diminished pulses, peripheral edema Congenital Heart Disease: Clinical Manifestations of Increased Pulmonary Blood Flow (ACYANOTIC) - correct answer -tachypnea -tachycardia -murmur -CHF -poor wt gain -diaphoresis -periorbital edema -frequent resp infections -PDA, ASD, VSD Congenital Heart Disease: Clinical Manifestations of Decreased Pulmonary Blood Flow (CYANOTIC) - correct answer -cyanosis -hypercapnotic episodes (O2 in 60% range)