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TRANSPOSITION OF GREAT ARTERIES What Went Wrong?

Dalam dokumen Pediatric Nursing Demystified (Halaman 136-140)

• Institute preoperative teaching to reduce anxiety.

• Prepare child and family for postoperative procedures such as naso- gastric tube, wound care, and monitoring apparatus.

• Administer preoperative sedation.

䊋 Provide postoperative care for the child undergoing cardiac surgery:

• Make sure child is in safe position of comfort according to the physician’s order.

• Perform stat orders.

• Use proper handwashing.

• Assess wound for bleeding and signs of infection.

• Provide appropriate wound care.

• Assess breath sounds.

• Perform neurologic checks.

• Take frequent vital signs.

• Administer fluids to prevent hypotension.

• Monitor fluids losses through chest tube.

• Administer pharmacologic support as ordered.

• Monitor electrolytes and supplement with infusion as ordered.

• Administer sedatives and analgesics for comfort.

• Allow caregivers to visit as soon as possible.

• Explain procedures and equipment to caregivers.

• Encourage caregivers to ask questions.

• Involve child life specialist and social services in the care to support the child and family.

TRANSPOSITION OF GREAT ARTERIES

flow patterns. Reveals vessel transposition and septal defects and car- diomegaly.

䊋 Pulse oximetry (SpO2): Device used to evaluate the degree of oxygen saturation in the blood using a small infrared light probe. Oxygen satu- ration levels are low

䊋 Electrocardiogram: Detects electrical events normal and abnormal cardiac rhythm in the heart. May be normal for newborn and later show signs of ventricular hypertrophy

䊋 Echocardiogram: Two-dimensional Doppler evaluation to detect evidence of valve leakage, cardiac anatomy, size, and function. Will reveal vessel transposition and septal defects.

Treatment

䊋 Intravenous prostaglandin E to increase blood mixing so that oxygen saturation if ≥ 75%.

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Pulmonary artery

Aorta

FIGURE 6-10

䊋 Atrial septostomy (Rashkind procedure) performed during catheterization to increase mixing and maintain cardiac output.

䊋 Arterial switch procedure to connect the main artery to the proximal aorta and the ascending aorta to the proximal pulmonary artery.

䊋 Coronary arteries are switched from the proximal aorta to the proximal pulmonary artery, which creates a new aorta.

Nursing Interventions for Child Undergoing Cardiac Catheterization

䊋 Prepare the patient for cardiac catheterization:

• Take complete nursing history.

• Patient must be NPO for 4 to 6 hours.

• Complete assessment including calculation of body surface area.

• Check for allergies; allergies to iodine, contrast dyes, and shellfish should be relayed to the physician prior to the procedure.

• Document baseline assessment of pedal pulses and pulse oximetry.

• Utilize child life specialists to alleviate anxiety for the child and family.

• Arrange a tour of the lab with the child if age appropriate.

• Explain specific aspects of the procedure such as the placement of the IV and ECG electrodes.

• Demonstrate how the skin will be washed with brown soap and how the skin will be numbed.

• Explain how the contrast affects the patient and how sedation will make the child feel.

䊋 Care of the patient after cardiac catheterization:

• Monitor patient with cardiac monitor and pulse oximeter prior to discharge.

• Monitor the patient for

Temperature and color distal to the catheter insertion site

A pulse of the extremity distal to the catheter insertion site

• Take vital signs every 15 minutes for the first hour and hourly thereafter.

• Monitor for trends and assess for possible hypotension, tachycardia, and bradycardia.

• Check the pressure dressing for evidence of bleeding.

• Observe for bleeding at the insertion site or evidence of hematoma.

• Monitor intake and output for diuresis from contrast material.

• The patient and family should be provided with education upon discharge to:

Observe the site for signs of inflammation and infection.

Monitor for fever.

Avoid strenuous activities for a few days.

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CHAPTER 6

/ Cardiovascular Conditions 119

Avoid tub baths for 48 to 72 hours.

Use acetaminophen or ibuprofen for discomfort.

Nursing Interventions for Child Undergoing Cardiac Surgery

䊋 Provide preoperative care of the child undergoing cardiac surgery:

• Make inquiries to parents and caregivers as to any questions they may have about the procedure.

• Orient child and family to strange surrounding prior to surgery day.

• Check chart for signed informed consent forms.

• Check identification band with surgical personnel to ensure identity.

• Ensure side rails are securely fastened.

• Use restraints for transport.

• Check laboratory values for signs of systemic alterations.

• Bathe and groom the child.

• Provide mouth care for comfort while NPO.

• Cleanse operative site with prescribed method.

• Administer antibiotics as ordered.

• Remove jewelry, makeup, and prosthetics as needed.

• Check for loose teeth.

• Institute preoperative teaching to reduce anxiety.

• Prepare child and family for postoperative procedures such as naso- gastric tube, wound care, and monitoring apparatus.

• Administer preoperative sedation.

䊋 Provide postoperative care for the child undergoing cardiac surgery:

• Make sure child is in safe position of comfort according to the physician’s order.

• Perform stat orders.

• Use proper handwashing.

• Assess wound for bleeding and signs of infection.

• Provide appropriate wound care.

• Assess breath sounds.

• Perform neurologic checks.

• Take frequent vital signs.

• Administer fluids to prevent hypotension.

• Monitor fluids losses through chest tube.

• Administer pharmacologic support as ordered.

• Monitor electrolytes and supplement with infusion as ordered.

• Administer sedatives and analgesics for comfort.

• Allow caregivers to visit as soon as possible.

• Explain procedures and equipment to caregivers.

• Encourage caregivers to ask questions.

• Involve child life specialist and social services in the care to support the child and family.

5

BACTERIAL ENDOCARDITIS

Dalam dokumen Pediatric Nursing Demystified (Halaman 136-140)