Congenital heart disease: Difference between revisions

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==Diagnosis==
==Diagnosis==
 
# Pulse Ox non-responsive to O2
 
# Hepatomegaly
1) Pulse Ox non-responsive to O2
# High pulse pressure (also sepsis)
 
# Murmur
2) Hepatomegaly
# Blood pressure in 3 limbs
 
3) High pulse pressure (also sepsis)
 
4) Murmur
 
5) Blood pressure in 3 limbs
 


==Treatment (by presentation)==
==Treatment (by presentation)==
# Cyanosis (shunt)
##PGE1* (0.01mg/kg; may repeat at double dose x 3)
##pressors
# Tet spells
##knee chest position
##O2
# CHF
##diuretis, NTG, inotrops
# Shock (resrictive lesion)
##Dobutamine


 
==PGE1 Side Effects==
1) Cyanosis (shunt)
#Apnea (intubate)
 
#Hypotension
    -PGE1* (0.01mg/kg; may repeat at double dose x 3)
#Bradycardia
 
#Hyperexia
    -pressors
#Flushing
 
2) Tet spells
 
    -knee chest position
 
    -O2
 
3) CHF
 
    -diuretis, NTG, inotrops
 
4) Shock (resrictive lesion)
 
    -Dobutamine
 
 
*PGE1 Side Effects
 
-Apnea (intubate)
 
-Hypotension
 
-Bradycardia
 
-Hyperexia
 
-Flushing
 
 
 


[[Category:Peds]]
[[Category:Peds]]


[[Category:Cards]]
[[Category:Cards]]

Revision as of 19:13, 7 June 2011

Diagnosis

  1. Pulse Ox non-responsive to O2
  2. Hepatomegaly
  3. High pulse pressure (also sepsis)
  4. Murmur
  5. Blood pressure in 3 limbs

Treatment (by presentation)

  1. Cyanosis (shunt)
    1. PGE1* (0.01mg/kg; may repeat at double dose x 3)
    2. pressors
  2. Tet spells
    1. knee chest position
    2. O2
  3. CHF
    1. diuretis, NTG, inotrops
  4. Shock (resrictive lesion)
    1. Dobutamine

PGE1 Side Effects

  1. Apnea (intubate)
  2. Hypotension
  3. Bradycardia
  4. Hyperexia
  5. Flushing
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