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decreased pulmonary blood flow
allows deoxygenated blood to enter the circulatory system
decreased pulmonary blood flow s/s:
hypoxia
cyanosis
hyperpnea
hypercyanotic spells
right to left shunt
Tetralogy of fallot criteria
all 4 criteria has to be met
pulmonary stenosis
right ventricular hypertrophy
overriding aorta
ventricular septal defect
Tetralogy of fallot s/s:
cyanosis
harsh systolic murmur
TET spells
feeding difficulties
what do we do for TET spells:
place child in knee to chest position
administer 100% O2 by face mask
remain calm
administer morphine
begin IV fluids if needed
administer propranolol
children may squat during a TET spell
Tricuspid atresia (tricusPId resPItory)
tricuspid valve fails to develop MUST keep PDA open
blood must travel to ASD to VSD
Tricuspid atresia s/s:
severe respiratory distress
cyanosis
tachy
fatigue
tired during feedings
use prostaglandins