Galen College of Nursing NUR 230 Exam 3 (Peds) Study Guide
2022
Cardiac
•Meds:
oLasix – I & O, K enriched foods
oDigoxin
▪Increases contractility, slows heart, dangerous drug with narrow window of
safety.
▪Tale apical pulse X1min
▪If vomits, do not repeat dose
▪Dig Toxicity: Anorexia, nausea, vomiting, diarrhea, visual disturbances
(Yellow vision< bradycardia.
•Closely monitor for toxicity if on antibiotics
•CHF = Causes, S/S, nursing interventions, treatment
oS & S – Tachycardia, diaphoretic, weight gain, cardiac output decreased due to fluid
overload
▪If on CHF, may require O2 during procedures
oCongenital defects: S/S, nursing interventions
oASD – may be asymptomatic but can develop CHF. Oxygenated blood flows back
in the right atrium. Usually with exercise intolerance. Diastolic murmur, risk for
atrial dysrhythmias. Can be treated with a surgical patch closure or cardiac cath
can now be performed to dispatch a closure device.
oCSD – Can cause hypertrophy of the right ventricle from the pressure from the
lungs and the left to right shunting. CHF is common, there is a loud holosystolic
murmur.
oCoarctation of the aorta – Narrowing near the insertion of the ductus arteriosus
which results in increased pressure proximal to the defect (head and upper
Galen College of Nursing NUR 230 Exam 3 (Peds) Study Guide
2022
