Congenital Heart Defect of Ventricular Septal Defect (Nursing care:…
Congenital Heart Defect of
Ventricular Septal Defect
Monitor for worsening sx, CHF, and pulm HTN.
Assess HR, BP, RR.
Rest. Feeding assistance, Small, frequent, short feedings to prevent fatigue. No longer than 30 min. at 45* angle.
Pre and post op care
Increased HOB, oxygen, meds
Educate parents on CHF, fatigue and management
Reduce exposure to other illnesses. Vaccinate
CHF, tachypnea, dyspnea, poor growth,
poor feeding, Increased resp infections,
Tachycardia, diaphoresis with feeding,
edema, retractions, JVD, hepatomegaly
May show enlarged heart and pulm. vascular markings
R and L vent,hypertrophy may be seen.
Shows shunting, valves, and blood flow
Small VSD may close
spontaneously within 6 months of life.
Tx is conservative if no CHF or pulm. HTN is present
if CHF is present:
Furosemide, digoxin, and ACE inhibitor.
Palliative pulm artery banding may be used to reduce blood flow to the lungs and CHF until surgery.
Patching occurs at 3-12 months
CHF, pulmonary HTN, post op- tachyarrhythmias,
RBBB, and complete heart block. infection, thrombus.
Opening in the
Increased pulmonary blood flow.
Blood is shunted from left vent. through
septum into the pulm. artery.
More blood is pumped to the lungs
causing increased pulmonary
15-20% of CHD