Diferencia entre revisiones de «Tetralogy of Fallot»
Sin resumen de edición |
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| Línea 17: | Línea 17: | ||
#Place in knee-chest position | #Place in knee-chest position | ||
##Increases SVR > more blood into pulm ciruclation | ##Increases SVR > more blood into pulm ciruclation | ||
#Morphine IV | #Morphine 0.1-0.2Mg/kg IV or IM | ||
##Mechanism of action unclear | ##Mechanism of action unclear | ||
#Fluids IV | #Fluids IV | ||
Revisión del 19:28 25 ago 2011
Background
- Most common cyanotic CHD manifesting in postinfancy period
- Tetralogy:
- VSD
- RV outflow obstruction (pulmonic stenosis)
- Overriding aorta
- RV hypertrophy
Diagnosis
- Cyanosis
- Systolic thrill/ejection murmur, loud S2
Work-Up
DDx
Treatment
- Place in knee-chest position
- Increases SVR > more blood into pulm ciruclation
- Morphine 0.1-0.2Mg/kg IV or IM
- Mechanism of action unclear
- Fluids IV
- Improves RV filling
- Beta blockers IV
- Relaxtion of RVOT
- Phenylephrine
- Similar to knee-chest position
Disposition
See Also
Source
UpToDate