Heather Shared "Perfusion" - 21 Picmonics
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Perfusion
Patent Ductus Arteriosus
- Continuous
- Machine like murmur
- Often Due to Congenital Rubella
- Prematurity
1 min
Tetralogy of Fallot (TOF)
- Features
- Blue Baby Syndrome
- Mechanism
- PROVe Acronym
- Pulmonary Infundibular Stenosis
- Right Ventricular Hypertrophy
- Overriding Aorta
- Ventricular Septal Defect (VSD)
- Diagnosis and Treatment
- Boot-Shaped Heart
- Squatting for Tet Spells
- Surgery
2 mins
Imperforate Anus
- Mechanism
- Congenital Anorectal Malformation
- Signs and Symptoms
- No Anal Opening
- Absence of Meconium
- Gradual Increase in Abdominal Distention
- Considerations
- Surgical Repair
- Bowel Management
2 mins
Tracheoesophageal Fistula (TEF)
- Cause
- Esophageal Atresia
- Ends in Blind Pouch
- Assessment
- Coughing
- Choking
- Cyanosis
- Drooling
- Considerations
- NPO
- Surgical Emergency
- Aspiration Pneumonia
2 mins
Hypertrophic Pyloric Stenosis (HPS) Assessment
- Mechanism
- Hypertrophied Pylorus
- Risk Factor
- Macrolide Use
- Assessment
- 3-6 Weeks of Age
- Projectile Vomiting After Feeding
- No Pain or Discomfort
- Weight Loss
- Dehydration
- Hungry Baby
- Olive Mass
2 mins
Hypertrophic Pyloric Stenosis (HPS) Interventions
- Treatment
- Pyloromyotomy
- Preoperative Care
- Stabilize Fluid and Electrolyte Balance
- Nasogastric Tube
- Monitor Feeding
- Postoperative Care
- Start Formula or Breastfeeding Within 24 Hours
- Feedings Every 4-6 hours
- Full Feeding Within 2 days
2 mins
Cleft Lip or Palate Interventions
- Considerations
- Encourage Bonding
- Prosthodontic Device
- Modified Nipple
- Burping
- Surgical Repair
- Normal Saline Rinse
- Elbow Restraints
- Avoid Rigid Eating Utensils
2 mins
Cerebral Palsy (CP)
- Cause/Mechanism
- Maternal Infections
- Fetal Hypoxia
- Assessment
- Developmental Delay
- Neurological Dysfunction
- Spasticity
- Dysphagia
- Interventions
- Muscle Relaxants
- Muscle Exercises
- Assistive Devices
- Braces
2 mins
Clubfoot
- Cause/Mechanism
- Multifactorial Congenital Anomalies
- Fetal Position
- Assessment
- Deformed Foot and Ankle Position
- Talipes Equinovarus
- Interventions
- Serial Casting
- Ponseti Method
- Early Surgery
2 mins
Cardiac Cycle - Systole
- Characteristics
- AV Node
- AV Node Conducts Signal to Bundle of His
- Bundle of His Signals Purkinje Fibers to Contract Ventricles
- Tricuspid Valve Closes
- Pulmonary Valve Opens
- Mitral Valve Closes
- Aortic Valve Opens
2 mins
Cardiac Cycle - Diastole
- Characteristics
- Aortic Valve Closes
- Pulmonary Valve Closes
- Ventricles Relax
- Mitral Valve Opens
- Tricuspid Valve Opens
- Ventricles Fill
- Sinoatrial (SA) Node Fires
- Atrial Contraction
3 mins
Epinephrine (Adrenaline)
- Mechanism
- Alpha and Beta Agonist
- Indications
- Anaphylaxis
- Primary Open Angle Glaucoma (POAG)
- Bleeding
- Cardiac Arrest
- Side Effects
- Tachycardia
- Hypertension
- Tremors
- Insomnia
- Considerations
- Multiple Strengths
2 mins
Cardiovascular Effects of Beta-Blockers
- Cardiac Myocytes and Vasculature
- Decrease cAMP
- Decreases SA and AV Node Conduction Velocity
- Lower Blood Pressure
- Decrease O2 Consumption
- Decreases Mortality Post-MI
2 mins
Hypertrophic Cardiomyopathy Mechanisms
- Pathophysiology
- 2/3 Autosomal-Dominant
- 1/3 Sporadic Type
- Mutation in Gene for Sarcomere Protein
- Cardiac Myosin Binding Protein C
- Asymmetric Septal Hypertrophy
- Outflow Tract Obstruction
- Diastolic Dysfunction
2 mins
Dobutamine
- Mechanism
- Beta-1 Agonist
- Inotropic
- Indications
- Heart Failure
- Side Effects
- Tachycardia
- Arrhythmias
- Considerations
- Closely Monitor Patients
- Other Meds May Increase Potency
1 min
Digoxin (Lanoxin)
- Mechanism of Action
- Increases Inotropy
- Indications
- Heart Failure
- Atrial Fibrillation
- Side Effects
- Bradycardia
- Fatigue
- Contraindications
- Heart Block
- Nursing Considerations
- Heart Rate Below 60
- Hypokalemia
- Monitor for Toxicity and Visual Changes
- Digibind
2 mins
Adenosine (Adenocard)
- Mechanism
- Slows AV Conduction
- Indications
- Supraventricular Tachycardia (Paroxysmal)
- Side Effects
- Bradycardia
- Flushing
- Dyspnea
- Considerations
- Rapid IV Push
- Caffeine and Theophylline Decrease Effectiveness
- Dipyridamole May Intensify Effects
2 mins
Beta Blockers
- "-olol" suffix
- Mechanism
- Decreases Heart Rate and Contractility
- Decreases Peripheral Vascular Resistance
- Decreases Renin Release
- Indications
- Hypertension
- Heart Failure
- Angina Pectoris
- Contraindications
- Asthma and Heart Block Patients
- Nursing Considerations
- Assess Blood Pressure and Heart Rate
- Masking Signs of Hypoglycemia
- Do Not Stop Abruptly
2 mins
Postnatal Circulation
- Infant Breathes
- Decreased Pressure in Pulmonary Vasculature
- Decreased Right Heart Pressure
- Increased Left Atrial Pressure
- Closes Foramen Ovale
- Increased O2
- Decreased Prostaglandins
- Closed Ductus Arteriosus
- Pharmacologic Intervention of Ductus Arteriosus
- Open with Prostaglandins
- Closed with Indomethacin
3 mins
Aortic Stenosis
- Characteristics
- Age-related Calcifications
- Bicuspid Aortic Valve
- Crescendo-decrescendo Murmur
- Systolic Murmur
- Ejection Murmur
- Ejection Click
- Radiates to Carotids and Apex
- Pulsus Parvus et Tardus
- Syncope
- Helmet Cells
2 mins
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