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Pediatric AACN CCRN cardiac Questions and Answers

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Pediatric AACN CCRN cardiac Questions and Answers

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  • July 14, 2024
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  • 2023/2024
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Pediatric AACN CCRN cardiac Questions
and Answers.
defects related to down syndrome -
\avsd

defects related to trisomy 18 -
\vsd, hlhs

defects related to turner syndrome -
\hlhs, aortic stenosis, vsd, coarction of the aorta

defect related to williams syndrome -
\supravalvlar stenosis

defect related to digeorge syndrome -
\interrupted aortic arch

defect related to noonan syndrome -
\pulmonary valve stenosis

suspect congenital heart disease in the newborn -
\sepsis, murmur and cyanosis, crying worsens cyanosis, failed hyperoxia test, abnormal
weight loss, poor feeding, discordant upper and lower pulses

atresia -
\something is missing, not developed

stenosis -
\narrowing, stricture

hypoplastic -
\small, underdeveloped

anamolous -
\abnormal, irregular, departing from the usual

Acyanotic with increased pulmoanry arterial flow? -
\ASD. VSD. PDA. AVSD.

VSD -
\Most common congenital cardiac anomaly; left to right shunt, acyanotic, increased
pulmonary blood flow. longterm: chf and pulmonary htn

, avsd -
\deformity of mitral and tricuspid valves, common av valve, mixing and leaking,
communication between all four chambers. surgical repair in infancy. can develop pulm
htn.

acyanotic defects with ventricular outflow obstruction -
\aortic stenosis, coarction of the aorta, pulmonary stenosis

How many leaflets do the semilunar valves have? -
\3 each

How many leaflets does the mitral valve have? -
\two

How many leaflets does the tricuspid valve have? -
\three

how many leaflets does the aortic valve have? -
\three

coarction of the aorta (CoA) -
\narrowing of the descending aorta. keep pda open. difference in lower vs higher
pulses. monitor for htn

Cyanotic with decreased pulmonary blood flow -
\TOF, Tricuspid atresia

tetralogy of fallot -
\underdevelopment of right ventricular findilumn. four defects: pulmonary stenosis( right
ventricular tract outflow obstruction), right ventricular hypertrophy, overriding aorta
(aorta sits on right and left ventricle), VSD.

monitor for what after TOF surgeries -
\look for right ventricular hf, don't make heart work too hard, dysrhythmias, low PVR,
bleeding

tet spells -
\Hypoxic episodes; relieved by the child squatting or being placed in the knee-chest
position, comfort, supplemental oxygen, oxygen, morphine, increase preload, sodium
bicarb, propanolol, and phenylephrine. increasing cyanosis, hyperpnea, and secondary
to spasm of infindiulm and/ or sudden drop in SVR = increases right to left shunt,
decreases pulmonary blood flow.

Phenyephrine -
\a1 AGONIST - Vasoconstrictor

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