QUESTION NUMBER 1

WHAT IS THE TYPE OF CONGENITAL HEART DISEASE WHICH OCCURS IN ABOUT 10% OF CHILDREN? A) Tricuspid Atresia B) Tetralogy of fallot C) Congestive Heart Failure

QUESTION NUMBER 2

WHICH ARE PRESENT IN TETRALOGY OF FALLOT? A) Pulmonary Stenosis and Ventricular Septal Defect B) Ventricular Septal Defect and Tricuspid Atresia C)Truncus Arteriosus and Pulmonary Stenosis

QUESTION NUMBER 3

WHICH OF FOLLOWING IS THE PRIMARY ASSESSMENT OF TETRALOGY OF FALLOT?

A) Polycythemia B) Increase

respiration C)cyanosis

NURSING CARE PLAN

ASSESSMENT Subjective: ang anak ko ay laging naiyak at nagiging kulay bughaw ang kaniyang kulayas stated by the patients mother Objective: -primary sign: cyanosis -hypoxic spells-usually initiated by crying -fainting -stunted growth -clubbed fingers And toes -squatting and knee chest position

DIAGNOSIS Ineffective cardiopulmonary tissue perfusion related to impaired cardiac function and increased cardiac workload.

PLANNING Discharge outcome: Prior to discharge the patient will be able to demonstrate maintain perfusion as evidenced by y Normal vital signs y Patient is calm and quiet Short term-outcome: After 2hours of nursing intervention the patient will be able to demonstrate increase in perfusion as evidenced by: y Normal Vital signs y Skin color pink and warm y And lungs clear in auscultation

INTERVENTION independent 1. Monitor vital signs. 2. Place infant in seat to elevate head and chest 30O to 60O 3. Remove Constrict clothing from childs chest. 4. Decrease hypoxic spells by dont permit child to cry 5. place in knee chest position Collaborative 1. consult with cardiac specialist as necessary

RATIONALE 1. to obtain baseline data 2. Elevating the head and chest relieved pressure on the diaphragm. 3. Constricting clothing interferes with chest expansion. 4. to increase O2 supply to the brain and keep child calm 5. gives physiologic relief to an overstressed heart by trapping blood in lower extremities. 1. infants with congestive heart failure have few resources to compensate for failing heart action 2. digoxin improves myocardial contractility

2. administer digoxin as prescribed

EVALUATION Discharge outcome: Prior to discharge the patient demonstrated maintain perfusion as evidenced by y Normal vital signs y Patient is calm and quiet Short term-outcome: After 2hours of nursing intervention the patient demonstrated increased perfusion as evidenced by: y Normal Vital signs y Skin color pink and warm y lungs clear in auscultation