Which Problem-Based Nursing Care Plan Will The Nurse Indicate As Priority For The Child Following Cardiac Surgery For Tetralogy Of Fallot? (2023)

FAQs

What is the nursing care of a child with congenital heart disease? ›

Nursing care for patients with congenital heart disease focuses on assessing and managing symptoms, promoting growth and development, ensuring proper nutrition, monitoring for complications, educating the patient and family, and collaborating with the healthcare team to provide comprehensive care.

One type of intervention, skin‐to‐skin care, has demonstrated positive effects on infants with complex congenital heart disease and their parents. Skin‐to‐skin care is associated with lower maternal self‐reported anxiety, lower maternal cortisol levels, and improved attachment to their infant.

Nursing Interventions and Rationales

Patient may have tachycardia with low blood pressure. Monitor for changes from baseline. Listen for murmurs or gallops to help determine location and severity of condition. Abnormal lungs sounds may indicate pulmonary edema related to heart failure.

Based on the assessment data, the major nursing diagnoses are: Acute pain related to joint pain when extremities are touched or moved. Deficient diversional activity related to prescribed bed rest. Activity intolerance related to carditis or arthralgia.

Tet Spells – If the child is having a “tet” spell or hypercyanotic episode, the general guidelines are to: Draw the child's knees up to their chest to increase systemic vascular resistance. This increases the amount of blood flow out of the right ventricle and into the pulmonary vasculature. Provide oxygen.

The following are the nursing priorities for patients with congestive heart failure: Improve myocardial contractility and perfusion. Enhance heart's pumping function to ensure adequate blood flow to organs through medications, monitoring vital signs, and optimizing fluid balance. Manage fluid volume.

The AAP guideline recommends room sharing but recommends against co-sleeping for infants. The AAP guidelines¹⁴ further recommend always placing infants in a supine position for sleep, on a firm sleep surface (separate from but close to the caregivers' sleep surface) that is devoid of bedding and soft objects.

The following are the nursing priorities for patients undergoing cardiac catheterization: Promoting adequate tissue perfusion. Patients undergoing cardiac catheterization are at risk for bleeding, vascular injury, and impaired tissue perfusion, necessitating close monitoring to prevent complications.

Nursing interventions for the patient with Kawasaki disease are: Monitor pain. Monitor pain level and child's response to analgesia. Cardiac monitoring and assessment.

Nursing management

Nursing care for the child include promoting proper growth and development, optimizing mobility and preventing further deformity, maintaing adequate nutrition, increasing family coping, strengthening family support and educating them about the condition.

How do you manage heart disease in children? ›

Medications or pacemakers are often helpful in treating heart failure initially. Eventually, medications may lose their effectiveness and many congenital heart defects will need to be repaired surgically. Medications may also be used after surgery to help improve heart function during the healing period.

Treatment of acute HF is based on the use of diuretics for congestion, inotropes, and short-term MCS (mechanical circulatory support) for peripheral hypoperfusion. ACEI or ARNI, beta blockers, MRA, and SGLT2Is are recommended for patients with HFrEF.

NANDA-I diagnosis: Anxiety (00146)

Definition: Vague, uneasy feeling of discomfort or dread accompanied by an autonomic response (the source is often non-specific or unknown to the individual); a feeling of apprehension caused by anticipation of danger.

Based on the assessment data, the major nursing diagnoses are: Acute pain related to tissue distension by fluid accumulation / inflammation, joint destruction. Impaired physical mobility related to skeletal deformities, pain, discomfort,activity intolerance, decreased muscle strength.

The following are the nursing priorities for patients with acute rheumatic fever: Administer appropriate antibiotics and monitoring for effectiveness and side effects. Manage inflammation and symptoms with anti-inflammatory medications. Monitor and manage cardiac complications.

Babies who have heart disease tend to get tired easily while they're feeding. If feeding makes your baby tired, try giving smaller amounts of breast milk or formula at one time. But feed your baby more often. Burp them often, too.

Patients with HF require frequent monitoring of vital signs, including oxygen saturation. They may also require constant monitoring of the heart rate and rhythm via telemetry monitoring. Frequent assessment and monitoring for symptoms is also indicated. All patients with HF require daily weight monitoring.