Diferencia entre revisiones de «Congenital heart disease»

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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]]

Revisión del 19:13 7 jun 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
Obtenido de «https://www.wikem.org/w/index.php?title=Congenital_heart_disease&oldid=2550»