Pediatric Nursing Demystified

(dillionhill2002) #1
oxygen levels in the heart chambers and visualize heart structures and
blood flow patterns. Ventricular defects and cardiomegaly will be evident.
Pulse oximetry (SpO 2 ): Device used to evaluate the degree of oxygen
saturation in the blood using a small infrared light probe. Oxygen saturation
will be decreased.
Electrocardiogram: Detects normal electrical events and abnormal
cardiac rhythms in the heart. Signs of cardiomegaly noted.
Echocardiogram: Two-dimensional Doppler evaluation to detect evidence
of valve leakage, cardiac anatomy, size, and function. Septal defect, car-
diomegaly and altered cardiac function noted.

Treatment


Palliative approach includes pulmonary artery banding (band around the
pulmonary artery).
Complete surgical repair is the treatment of choice:


  • Pursestring technique for small defects

  • Dacron patch for larger openings


4

CHAPTER 6/ Cardiovascular Conditions^101


Ventricular
septal
defect

FIGURE 6-5
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