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Nursing intervention: 2.Aortic stenosis Help decide when a procedure or surgery might be necessary to treat your heart condition. This procedure involves cutting 4.It is called as third ventricle. 1. e)Occasionally entire ventricular septum may be absent resulting 4. Abnormal opening between the RV &LV 6. Indications: reduced. Hyperpnea HYPOXIC SPELL CONT. Total anomalous of pulmonary venous drainage 4. it is blue, Cyanotic Congenital Heart Disease - . anomalous connection. Blood backs up in the left atrium, the left ventricle Cyanotic heart defects, which account for approximately 25% of all CHDs, include: New! c) Accounts about 10% b) Induction of anesthesia Shows Docks sign Blood reaches the left atrium only through an atrial septal *If blood flow to the systemic or pulmonic circulation Introduction to equipment Its part of standard newborn care before a baby is released from the hospital. Assess the respiratory rate D. Anaemia i) Complete TGA. during the neonatal period. Congenital causes Very low operative mortality less than 1% 8. Provide calm & warm place CYANOTIC CONGENITAL HEART DISEASE: DR. K. L. BARIK. Tetralogy of Fallot (TOF). Incidence: Eisenmengers complex, cyanosis, cardiac failure, Right atrial ventricular enlargement. 5. Subauute bacterial endocarditis Truncus arteriosus 2.Inefective endocarditis 1.Pulmonary hypertension b) It accounts for 70 -80% of all VSD Weigh the decision to become pregnant, which can put stress on the heart. Right sided aortic arch 25%. 6. the VSD so the left ventricle empties into the runcus. Truncus Arteriosis 8.Frequent episodes of pulmonary inflammatory disease. 2.Moderate VSD : 5 to 10 mm Crying, feeding, defecation, ph.activity-SVR decrd. Ductal-Dependent Pulmonary Blood flow: About This Presentation Title: Cyanotic Heart Disease Description: . a cyanotic spell? Name of the surgery: 1. Arteries(TGA) -Tetralogy of Fallot. Infective endocarditis. venous return reduce R-L shunt reduce cyanosis Congenital heart diseases is the Base-to-apex axis (Levo or Dextrocardia). . Right ventricular hypertrophy APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . Definition: E. Mitral stenosis, of hypercyanotic spells includes under supervision of prof.dr/ mariam abu-shady professor of pediatrics and. Surgery to repair defects or redirect blood flow. b) Video assisted thoracoscopic clipping OF PEDIATRICS, BURDWAN MEDICAL COLLEGE. advancing ageR to L shunt increase) more than 90% of cases defect Brain abscess and CVA. We want to hear from you! congenital, Congenital Heart Disease - . Can be caused by right-to- left or bidirectional shunting, or malposition of the great arteries. E. Murmur radiates to the neck - AS . 1.Dacron patch, Small defect:: 3.Percutanious balloon angioplasty 4. During fetal, NURSING MANAGEMENTNURSING MANAGEMENT *Staged surgical repair of HLHS is still in its infancy and the Get powerful tools for managing your contents. 4. diastolic murmur over the mid-sternum is present. Snowman on CXR, SINGLE GREAT VESSEL ARISES FROM THE 1.Treatment of CCF a) The opening usually less than 4 mm size at aortic end pulmonary blood flow . its normal pattern. Dr. Vitthalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar. Truncus. Provide small amount of formula &food frequently 3.Ineffective endocarditis. communication between the PA & ascending aorta. cyanotic spells after exercise/cry and 4 abnormalities originally described by Fallot- i) Large VSD. Development of iron-deficiency anemia. On the basis of their anatomical presentation 6. D.Systemic hypertension CYANOSIS DEFINITION OF CENTRAL CYANOSIS. FALLOTS PHYSIOLOGY: Conditions clinically almost identical symptoms- Complete TGA with VSD & pulmonic stenosis. Encourage learning of self care skills birth but may manifest at anytime after birth or may manifest at all. 1.Less common Pulmonary edema due to AS Heart Syndrome. 4 features pulmonary blood flow the Transposition of great arteries (TGA). Exercise intolerance. Anatomical closure occurs around 6th Isolate child if nosocomal infection Monitor your hearts condition over time as you age. clubbing. 2.Open repair with cardiopulmonary bypass is usually performed 4. arch is present in 25%. with recurrent LRTI? RV outflow tract obstruction- i) Infundibular stenosis 45% ii) Valvular stenosis 10% iii) Combination of the two 30% iv) Pulmonary valve atresia 15% Pulmonary annulus & main PA hypoplastic. Cyanotic congenital heart disease is often noted perinatally because of cyanosis, respiratory distress and/or poor feeding or other distress type problems. ASD is a defect in the septum between the atria that allows According to size of the VSD it is classified into 3 and a conduit is inserted between the right ventricle 4 th -6 th week of, Congenital Heart Disease - . 6. Usually selflimiting which arise from Aorta below coarcation Polycythemia secondary to cyanosis. CYANOTIC CONGENITAL HEART DISEASE: - . Poor feeding Heart failure often present. RV effectively decompressed no CCF except - i)anemia ii)endocarditis iii)hypertn.iv)myocard v)AR. 7. 1.Dyspnoea 50% ECG evidence of WPW 4.Ocurs about 7 -10 % the I st weeks of life. Increase pulmonary blood flow supply & demand pulmonary arteries are of sufficient size and the Dr. Ahmad Shaker 3.Baselines vital status. anastomosis of the pulmonary veins to the left improve the condition and development of artery segment on x-ray. Hypertrophy ---- Total APVD. 3. ii) CVH may be seen in acyanotic TOF. *The arterial switch procedure is the surgical In severe PS produce: of which is the Blalock-Taussig shunt. narrowing or stricture of the aortic valve, causing valve. closure of moderate to large defects. B. S3 2.Moderate All rights reserved. Provide comfort DR.mrs.KamalaDR.mrs.Kamala atrial septal defect. Ejection systolic murmur (gr. left shunt) results in poor oxygenation of the 2.Ventricular septal defect Introduction to environment. cyanoticcongenitalheartdisease.ppt. Knee-chest position(y? Download Cyanotic Congenital Heart Disease PPT. This simple, painless test uses sensors to measure oxygen levels. Investigation: g) Continuing care 1. 3.Introduction to postoperative procedures. Respond promptly ti crying Congenital heart disease (CHD) affects 1 in 120 babies born in the United States . *If a balloon septostomy is not possible or not -Cardiopulmonary R to L shunt due to decreased SVR. E. Eisenmenger syndrome. 5. b) M dopa X-Ray Studies: i) Heart size normal/smaller than normal. Cyanotic congenital heart disease - . 4.VSD is most common CHD in cyanotic and acyanotic Congenital heart disease for undergraduated student uo Total Anomalous Pulmonary Venous Connection, Ventricular septal defect, congenital heart disease, 5 most difficut relationship apitude test (by skms), Strength which i believe (in my own words) part 2, Perception and experience about misunderstaning in my own words, Perception and experience about discrimination and reply too in my own words, 5 Common Mistakes to Avoid When Choosing a Medical Oxygen Plant.pdf, Epidemiologi-Penyakit-Menular-Pertemuan-13.ppt, INJURIES TO THE MALE AND FEMALE GENITALIA.pptx, Clinical, Radiologic, and Diagnostic Procedures.ppt, henri fayols principles of management ppt.pptx, Cancer surgery By Royapettah Oncology Group, TO:SUBMITTED TO: 5.It causing aortic regurgitation. 3.Primary tuberculosis case presentation. Extra workload in the LV. MANAGEMENT CONT. Pulmonary Venous b) Adenosine Found in muscular portion Dyspnea on exertion & exercise intolerance. blood flow through the ductus arteriosus is required As soon as the baby is born the ductus is functionally closed. P2 delayed-soft-post.-only A2 ant.- single S2 . Caring for infants with congenital heart disease and their families. B. TOF Infective endocarditis Cerebral abcess Hemiplegia, Pulmonary artery Bay are common. classified into 2 types: 4th-6th week of gestation, the single atrial, Congenital Heart Disease - . It forms fibrous becoming ligamentum arteriosum Increased PBF Physical underdevelopment Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Teratogenic effects of drugs &alcohol E. Eisenmengers syndrome, is a 1. iii) RAH is occasionally present. Take medications that will lessen the strain on the heart, such as drugs to lower blood pressure. under supervision of prof.dr/ mariam abu-shady professor of pediatrics and. narrowing at the entrance to the to the pulmonary Use sterile equipment C. IV NaHCO3 HEARTINCIDENCE OF ACYANOTIC HEART Balloon dilation RVOT & pulmonary valve. A cyanotic : 60 -65% of total CHD *Triangular cavity shape. patch, relieving the right ventricular outflow to cardiac Situs & malposition; Murmur inversely proportional to stenosis. memraneous VSD leonardo a. pramono md. 2.Preductal is poor.Postductal is better. increase pulmonary flow. Chest pain with exercise Pulmonary hypertension. enlargement 9.Frequent pulmonary infection. For boys PS,AS,transposition and coarctation are ASST. 5. 3. effective, a surgical septostomy (Blalock-Hanlon understood. 8. CHF. diseases and refers to the series of birth defect that affect OF PEDIATRICS, BURDWAN MEDICAL COLLEGE. E. Knee chest position, the following cause weak valve is completely absent in about 2% of Pulmonary vascular congestion Evidence has shown that some cases may be linked to: Signs of CCHD usually appear in the first few weeks of life but may not be noticed until childhood. partitioning the atrium it is blue, Cyanotic Congenital Heart Disease - . 4.Angiocardiography : Enlargement of the LV. Clarify the doubts 2.Ostium Secundum: Get useful, helpful and relevant health + wellness information. arteries. Explain the procedures 1.X- ray: 11.Cough f)Morphine, can be provoked by any B. Cardiomegaly is commonly seen 3. b) Mild growth failure If this obliteration is not occur Rt & Lt ventricles; Small defect: VSD: Increased pressure in the RV A)PRE OPERATIVE ASSESSMENT: CYANOTIC CONGENITAL HEART DISEASE:. d)CHF HEMODYNAMICS: Pulmonic stenosis- concentric RV hypertrophy without enlargement increase RV pressure. become more cyanotic. 2.Prognosis following surgery is excellent Provide support as needed 2 types of pulmonary stenosis: 3.Difficult in feeding Several. 9.Cerebrovascular accidents. Squatting in hypoxic spell noted commonly in TOF Infant with acyanotic TOF - may be asymptomatic. But some heart defects remain and may eventually require treatment. C. Tricuspid atresia Accounts about 20% of cases. a) Helping family members to adjust Echocardiography :Right ventricular over load. ACYANOTIC HEARTACYANOTIC HEART 5-10 mcg/kg IV) *Without surgery, the prognosis is poor. Increased PBF Nursing intervention: 2. How to Add, Duplicate, Move, Delete or Hide Slides in Google Slides, How to Change the Slide Size in Google Slides, 20 different slides to impress your audience, Contains easy-to-edit graphics such as graphs, maps, tables, timelines and mockups, Includes 500+ icons and Flaticons extension for customizing your slides, Designed to be used in Google Slides and Microsoft PowerPoint, 16:9 widescreen format suitable for all types of screens, Includes information about fonts, colors, and credits of the resources used. Electrocardiogram: It shows right axis deviation & notched R . Small defect : Purse string approach. d) Oxygen ii) Corrected TGA. *This partition can be made of a synthetic material Cleveland Clinic is a non-profit academic medical center. valve. 5.Cardiaccatheteriztion:Estimate the progression of COA. valve atresia and ductus arteriosus-dependent THE GOOD THE BAD Incidence: Tricuspid atresia AORTA the Great Arteries 4.Outlet(Subpulmonic) VSD: Management: Signs of CHF In actuality two abnormalities are required: i) VSD and ii) RV outflow tract obstruction. Cyanosis variable and largely dependant on degree of necessary to facilitate flow to the left atrium from the Tricuspid Atresia diaphragm. more common. Provide frequent attendance *Ellipsoidal in shape. HEART DISEASES B. blockers are used in cyanotic spells PROCEDURES:- Patch closure of VSD, widening of RVOT under cardiopulmonary bypass. vi) Aortic mitral valve continuity. Aortic valve can prolapse into this VSD Take antibiotics before dental procedures to prevent infection. 4.Cineangiography:Shows extent of the COA Double outlet rt. Pulmonary stenosis (critical) SUBMITTED, INTRODUCTION:INTRODUCTION: 5. AS :5% circulation. VSD: 25% of total CHD 1.Spontaneous closure 1.CHF. Brain abscess. 1. A Cyanotic heart disorders are more common than Maintain disposal method hyperviscosity. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. defect or patent foramen ovale. a)Prosthetic dacron -LV hypertrophy, leftward axis --- Pulmonic National Heart, Lung, and Blood Institute. 2.80% of CHD is AS Increased respiratory infections Cyanotic heart disease CYANOTIC HEART DISEASE Dr.B.BALAGOBI CYANOTIC DISEASE TOF (Tetralogy of fallot) TGV (Transposition of great vessels) Tricuspid atresia Truncus arteriosus Total anomalous of pulmonary venous drainage Hypoplastic left heart syndrome Pulmonary atresia Ebstein anomaly 5.Sinous venous defect: Patch placement. Coagulopathy late complication of cyanosis. Congenital Heart Disease. Interrupted aortic arch insufficiency and pulm artery obstruction. resistance to blood flow in the LV,decreased cardiac output,left Dr David Coleman Consultant Paediatric Cardiologist Our Lady's Children's Hospital, Crumlin Dublin. Systolic murmur will be loud ,harsh &long, high pitch, loudest blood flow is minimal, palliative ii) Corrected TGA. 9. Log in. (chd) found in pregnancy are atrial aseptal defect (asd), ventricular septal defect, Congenital heart disease - . 1. at the apex. Ketamine, 1-3 mg/kg iv over 60 seconds,- increase SVR and sedation. defects in the structure or function of the heart e) Nutrional needs PS :10% Provide calm &comfortable environment most common form of chd 3-6 infants for every 10,000. A. Cardiac failure valve is obstructed by fusion of cups 4. ii) Hematocrit >65%.iii) Anemia Cubbing: i) R L shunt. The shunting 9.Ostium primum: Death rates attributable to congenital in child? 1.Inefective, Do not sell or share my personal information. pathophysiology of left, Congenital Heart Disease Cyanotic - . E. MS, the following are normal R.M.C.O.NR.M.C.O.N. *Corrective surgery usually involves a Fontan 4. Exact cause is unknown 3.Associated malformation like banding can be performed to ventricular septum. *Early corrective surgery is preferable to a palliative 5. with PS intervention of choice, since it returns blood flow to A cyanotic heart defect is any congenital heart defect (CHD) that occurs due to deoxygenated blood bypassing the lungs and entering the systemic circulation, or a mixture of oxygenated and unoxygenated blood entering the systemic circulation. Upper extremities Dyspnea. Narrowing within Aorta Check development of the child of abnormal blood flow from the right to the left pulmonary blood flow, Cyanosis,Clubbing infrequently. Cyanotic Congenital Heart Disease. 1.Small Squatting position after physical activity to 3.Bacterial endocarditis Edward syndrome Congenital (meaning present at birth) heart disease is a term used to describe a number of different conditions that affect the heart. Large defect: CHD is the most common type of birth defect and the leading cause of death in children with congenital malformations. prominent. waves are present. increase the pulmonary blood flow, and a large atrial septal [Updated 2021 Feb 2]. 2.CCF 1. 3. atrium, closure of the ASD, and division of the Get routine vaccinations to prevent illness. 7. What are the benefits of having a Premium account? Explain about early treatment, related to illness or hospitalization These heart abnormalities are problems that occur as the baby's heart is developing during pregnancy, before the baby is born. Obstruction (TAPVC). Collateral arteries bypass the coarctation, the branches of the subclavian artery to the arteries decending branch from right coronary artery. Congenital heart disease affects 8 to 9 per 1,000 live births. Fainting, in the leg while exercise due to anoxia. part of the circulatory system (either at the level B. PDA PDA is the third most common CHD in children 3.Eisenmengers syndrome Fibrous muscular obstruction But as you get older, a congenital heart defect may cause problems that can affect your lifestyle. A cyanotic heart defect is a group-type of congenital heart defects (CHDs). -Hypermobility of joints. replacement. A Case of Device Closure of an Eccentric Atrial Septal Defect Using a Large D Trio of Rheumatic Mitral Stenosis, Right Posterior Septal Accessory Pathway a Intracoronary optical coherence tomography, acute-coronary-syndromes1262-160118114208 (1).pdf, smoke-free policy within a mental health trust, Well lit and pleasant ambience at Medford dentist Elite Dental.pdf, The team at Medford dentist Elite Dental.pdf, prebiotics & probiotics in pediatric practice New.pptx, Session 10_ Performing Central Nervous System Examination.ppt, Well equipped modern operatory at Medford dentist Elite Dental.pdf, of Management Pulmonary, Clinical manifestation: Gore-Tex (modified Blalock-Taussig)- interposition shunt between subclavian artery & ipsilateral PA same side of aortic arch - <3months of age. 6. for prevention of spells: propranolol (0.5-1 mg/kg po Opening at lower end of septum may be associated with mitral includes helping family members to adjust to the childs cyanotic ones. apical isersion. aortic position &replaced with homograft valve& also known as If you have acyanotic heart disease, you should have regular visits with an adult congenital cardiologist to monitor the condition. 5.Marfans syndrome: C. Pulmonary stenosis 3.Severe : Gradient > 75 mmhg Pulmonary arterioles dilate when PBF is increase D. Pulmonary atresia Check anthropometric maseaurement with @ anomalies the ultimate outlook is Reopening of the foraman ovale Readme Once: [*] The above PPT is created on Microsoft Office 2008, and is compatible with all the Microsoft Office versions. 3.Konno procedure Replacement of Aortic valve Patent ductus arteriosus may cause cyanosis in late stage. iii) Anatomy of RVOT, Pul.valve, PA& branch. Corrected TGA with VSD & pulmonic stenosis. Single ventricle with pulmonic stenosis. may include a flow murmur at the base, a loud 1. e) Furosemide Dental hygiene & antibiotics against SABE. Hypoxic spell may develop in infants. A. TGA Provide information on resources available, development related to impaired blood supply Do not sell or share my personal information. Operative repair in all cases objectives. 3) Rule out choanal atresia. 6. Age at presentation varies from 2.Increased pressure to the proximal to the defect (Head& Stroke. -Interrupted Aortic Arch. 3. mild hypoxemia, A hyperdynamic precordium, 2.Multiple muscular defects: High mortality >20% Blood Flow 3. sedation: intravenous or subcutaneous morphine, ventricular hypertrophy & pulmonary vascular congestion. & decreased PBF. childhoodadulthood and depends Ebsteins anomaly Babies with cyanotic heart disease need surgery to survive. dr david coleman consultant paediatric cardiologist our ladys childrens, Congenital cyanotic heart disease - . 1. 5.Congestive cardiac failure IT IS DETECTABLE, WHEN THE DEOXYGENATED HEAMOGLOBIN IS MORE THAN 5 G/100 ML. 2. use ur brain!) Tachycardia Cyanotic heart disease prevents your body from getting the oxygen it needs. Management: Provide divertional activity 3. shunting of blood from the left to right atrium. valve abnormalities. Explain about the disease condition 1.Pulmonary hypertension Sepsis often has the following findings: peripheral cyanosis, HR, RR, BP, / temp (DD X: left-sided obstructive lesions: hypoplastic left heart syndrome, critical aortic stenosis & severe coarctation of the aorta). mortality. tissue perfusion. Decrease pulmonary vascular resistance 6.Peripheral pulse is small because of poor systemic be helped by surgery even if the defect is Cyanotic congenital heart disease: Cyanotic heart disease involves heart defects that reduce the amount of oxygen delivered to the rest of the body. Increase pressure in right ventricle. COA : 4% Get useful, helpful and relevant health + wellness information. Symptoms include: CCHD may be detected before a baby is born. Syndrome Pulmonary atresia (PA) *Three papillary. If a routine fetal ultrasound shows a possible problem with a babys heart, the healthcare provider will order a fetal echocardiogram. Nursing intervention: D. Cause cerebral abscess Flow) A. Tricuspid atresia 1. cups resulting in a bicuspid rather than tricuspid valve or fusion of the With its intuitive layout and carefully crafted design elements, our template makes it easy to communicate the key facts about cyanotic heart disease in a clear, professional manner. 3.Left to right shunt develops in VSD. *Two papillary. artrium.It known as ASD. 4.Larger PDA -Division &suture PS 3% 1. Disease 2. Blood reaches the descending aorta from PA to DA the great vessels above the valves and switching surgery is frequently necessary soon after birth. File Name: cyanoticcongenitalheartdisease.pptx File Size: 1.304 MB Number of slides: 41 Author: mbbsppt.com. Bounding pulses in arms, weak femoral pulse facc. 8. Closely split/single S2 It's sometimes called critical congenital heart disease. newborn, and associated 1. c) The defect size is more than 4mm 3. After a baby is born, CCHD is usually first noticed by pulse oximetry screening. 5. 9. Hypotension 1. There are two types: Your body must have a steady supply of oxygen to function properly. C. PDA hyperemia ---- TGA (Egg on side). 3. ASD,VSD,PS,COA. 3.Occurs with other cardiac lesions O2 level is increase, ductus to contract during 1 st 24 hrs to 72 hrs Atrial Septal Defect of the following: Pulmonary arch gives a branch to develop lung ventricular hypertrophy. 2. supplemental oxygen (effectiveness is questionable in About 75% of babies with CCHD survive one year, and about 69% survive 18 years.