Double Outlet Right Ventricle Surgery Research Paper

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

A tube feeding is a medical procedure that people can accept or deny. Feeding tubes provide a chemically balanced mix of nutrients and fluid to those who are unable to swallow, eat, or drink enough nutrition to maintain proper nutrition and hydration. " Doctors and nurses, rather

Hypoplastic Left Heart Syndrome is a very serious birth defect. Studies say, “each year approximately… 640 to 1440 infants in the United States are born with HLHS” (Paediatr Child Health,2). Hypoplastic Left Heart Syndrome, also known as HLHS, is a birth defect where the left ventricle of the heart is either underdeveloped or absent. Today, there are heart surgeries that can help children born with HLHS survive longer and sometimes even live long, happy lives. Though, not all children survive HLHS. Many infants die whilst waiting for a donor heart.

The patient will require surgery to repair the hole in the intestines, and subsequently will have a drainage tube, NG tube, and feeding tube. All drains will need to monitored for placement/movement, and drainage. Input and output will be closely monitored and recorded. The patient will remain on NPO, or nothing by mouth, to rest the bowels along with frequent assessments to monitor for infection and bleeding. The nurse will need to monitor for bowel sounds, vital sign changes, temperature changes, pain, abdomen girth, and wound/incision inspections. The following labs will require monitoring: CBC, H&H, albumin, BUN & creatinine, glucose, and ABG’s and lactic acid if sepsis is suspected. Careful and frequent monitoring of labs will alert the nurse if the patient develops sepsis, or hypovolemia due to excessive bleeding (Belinhof, et al., 2012). In addition to vital signs and labs, the nurse will also include patient assessment into consideration before drawing conclusions by means of critical thinking. After the full assessment has been made, the nurse will report any findings to the health care provider that require further investigation or

Chest tubes are used to drain fluid or remove air from the patient’s chest area. My patient had a chest tube to drain his pleural effusion 26mL

The blood that does not cross the foramen ovale into the left atrium is emptied into the right ventricle which is then pumped into the pulmonary artery to be carried to the lungs. The third fetal shunt is encountered; the ductus arteriosus allows blood to be shunted from the pulmonary artery to the aorta and systemic arteries following. Blood that does go to the lungs are returned by the pulmonary veins to the left atrium and emptied into the left ventricle. (Perinatal and Pediatric Respiratory Care, Ch2 p 17-18) Shortly after birth due to changes in vascular resistance blood is redirected to the lungs for oxygenation and these shunts are no longer required leading to their closure within a few days postpartum. In HLHS, because the left heart structures are insufficient to receive and pump adequate amounts of oxygenated blood to supply the tissues the patency of the foramen ovale and the ductus arteriosus are essential to sustaining life. (PubMed – ADAM Medical Encyclopedia, 2013) Medical intervention is needed to maintain the patency of the ductus arteriosus and an atrial septal defect is created in place of the foramen ovale.

Medications used to treat this condition come with risks, and parents often wish to avoid them for this reason. For those who do choose medication for their child, the worry that the medication will be used improperly is present. For these reasons, parents often look for alternatives when it comes to treating their child.

You will have a bandage (dressing) around the area where the VAD tube exits your abdomen. The dressing consists of a drain sponge, gauze, and adhesive tape. Your VAD coordinator may help you order the supplies you need to change your dressing.

The physician inserts a tissue valve into the bigger artery there, and then takes the valve up to the

an artery in the neck. Once the catheter is in place, the needle is removed and a

HLHS is when the left side of the heart is severely underdeveloped. In hypoplastic left heart syndrome, the left side of the heart can 't properly supply blood to the body because the lower left chamber (left ventricle) is too small or in some cases it may not even exist. In addition, the valves on the left side of the heart (aortic valve and mitral valve) don 't work properly, and the main artery leaving the heart (aorta) is smaller than normal. The foramen ovale is a natural opening between the upper chambers of the heart (atria) or through a blood vessel that connects the pulmonary artery directly to the aorta (ductus arteriosus) and for the first several days of life, the right side of the heart can pump blood to both the lungs and the rest of the body through this. Often babies with HLHS undergo a three-staged set of complex surgeries in which the outcome is usually leaving the child with half a heart. In doing this, it increases the child’s chances of survival. The foramen ovale usually closes after the first day or two of life then the right side of the heart has no way to pump blood out to the body.

An endotracheal tube is inserted into the trachea and connected to the ventilator to open

Hypoplastic left heart syndrome is treated through several surgical procedures or a heart transplant.The medication alprostadil helps to dilate the blood vessels and keeps the ductus arteriosus open. A partial septostomy creates or enlarges the opening between the atria to allow more blood flow from the right atrium to the left atrium if the foramen ovale closes. A baby with hypoplastic left heart syndrome will likely require the Norwood Procedure, which is when surgeons reconstruct the aorta and connect it directly to the heart's right ventricle. Surgeons insert a shunt that connects the aorta to the pulmonary arteries, or they place a shunt that connects the right ventricle to the pulmonary arteries. This procedure allows the right ventricle

During the procedure, a 5–10-inch incision will be made in your chest. The size and exact location of the incision varies depending on the purpose of the procedure. After this procedure, you will continue to have a chest tube draining fluid from your lungs for 24–48 hours.

Treatment for tetralogy of Fallot can only happen with open heart surgery either done soon after birth or later in infancy. The goal of surgery is to repair the four defects of tetralogy of Fallot while ensuring that the heart can work as ordinarily as possible. Repairing the defects can greatly improve a child's quality of life and health. The pediatric cardiologist and cardiac surgeon will choose the best time to do the surgery. They will base their choice on a baby's health and weight and the harshness of the defects and