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Patent Duct us Arteriosus - Coggle Diagram
Patent Duct us Arteriosus
Symptoms
breathlessness
Easy tiring
poor growth
sweating with crying or eating
poor eating
causes
Genetics
environmental factors
Pathophysiology
Low fetal systemic arterial oxygen tension
elevated circulating PGs
Hypixic ischemia
indigenous vasodilators
Ductus fail to develop level of profound hopoxi ischemia
Diagnostic procedure
Echocardiogram
chest X-ray
electrocardiogram
cardiac catheterization
Treatment
Non steroidical anti -nflamatory drugs (NSAIDs)
Ibuprofen
indomethacin (in do in)
Management
Watchful waiting
open-heart surgery
catheter procedure
surgical closure
prevent infection
Diet
Vitamin supplement with follicle acid
avoid harmful substances (alcohol , drugs and cigaratte
Nursing caplan
Maintain adequate cardiac output
Reduce the increase in pulmonary vascular resistence
Maintain adequate levels of activity
Provide support and growth development
Maintain appropriate weight and height
Nursing diagnosis
Activity intolerance
Anxiety
deficient knowledge
Nursing intervention
watch for signs of PDA in premature infants
monitor vital signs, ECG and electrolyte leve
input and output
adverse effect of indomethacin
Definition: it a persistent opening between two major blood vessels leading from heart
Treatment
Prostaglandin analogs :
antibiotics
Indomethacin