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C.H. 42 y/o Male Admitting Diagnosis: AICD firing (h/o ventricular…
C.H. 42 y/o Male
Admitting Diagnosis: AICD firing
Treatment
ICD Removal and Replacement
Risks: Damage or tear in heart or blood vessels
Surgical emergency
Superior vena cava stenosis
Most likely complication from congenital defect
Symptoms
swelling of face, hands, neck
Cough, SOB
chest pain
Pathophysiology: Compression of the superior vena cava by an outside force, or thrombus.
h/o ventricular fibrillation
Cardiac Defibrillator in place
h/o sinus node dysfunction
symptoms: Dizziness, SOB, fatigue, fainting, chest pain
Pathophysiology: heart rhythm disorder caused by coordinated contraction of the ventricular myocardium replaced by high-frequency, disorganized excitation, resulting in failure of the heart to pump blood
D-Transposition of the great arteries with intact ventricular septum (congenital defect)
S/P neonatal BAS and subsequent Mustard Atrial Switch Palliation
Complications: Some kids can develop arrhythmia problems after Mustard surgeries
Pathophysiology
congenital heart defect present at birth. Positions of the pulmonary artery and the aorta are switched. The pulmonary artery is connected to the right ventricle. Oxygen poor blood circulates through the right side of the heart and back to the body without passing through the lungs. Oxygen rich blood circulates through the left side of the heart and directly back into the lungs without being circulated to the rest of the body
Diagnostic Tests
CT angiogram
Shows that the patients pacemaker was misfiring
Echocardiogram
Sinus rhythm with extreme left axis deviation
Indication of heart failure
No EF available
Medications
Furosemide
Uses: Fluid overload
In cases where heart is not pumping properly, furosemide is used to treat fluid retention
Check Blood Pressure, if SBP below 110, hold and call physician
Risks: Potassium depletion
Potassium Chloride
Uses: Potassium depletion
Uses: Prevention of Ventricular Fibrillation