Patel CHF in peds
Pediatric Congestive Heart failure
Question Answer
What is Congestive Heart
failure ?
d/o of circulation in which
cardiac output is inadequate
to support the body's
circulatory and metabolic
ne
...
Patel CHF in peds
Pediatric Congestive Heart failure
Question Answer
What is Congestive Heart
failure ?
d/o of circulation in which
cardiac output is inadequate
to support the body's
circulatory and metabolic
needs.
what is the most common
cause of CHF in infants ? Blood volume overload.
What are sx of CHF in
infants
The infant tires easily
especially during feeding.
What are manifestations of
CHF
weight loss, lack of growth,
sweating, irritability, frequent
infections.
what are clinical
manifestations of CHF in
older children
exercise intolerance, dyspnea,
abdominal pain or distention,
and peripheral edema.
As CHF progresses, what
sx are manifested
tachypnea, tachycardia,
pallor, cyanosis, nasal flaring,
grunting, retractions, cough,
crackles, FVO, periorbital
and facial edema,
hepatomegaly (FVE) JVD in
older children.
__________ is
enlargement of the heart
by hypertrophy of its
walls, occurs as the heart
attempts to maintain CO.
Cardiomegaly
If CHF is not tx,
cardiogenic shock may
occur; what are the sx of
CS
cyanosis, weak pulses, cool
extremities, hypotension,
heart murmur
what are dx test for CHF
based on clincal
manifestations like
tachycardia, resp distress and
crackles. Chest radiograph,
echocardiography,
electrocardiogram
What are the goals of
clinical therapy for CHF
make the heart work more
efficiently and to remove
excess fluid.
What kind of diuretics
cause K+ loss?
Furosemide and
chlorothiazide (K+ supps
may be ordered)
What kind of diuretic does
not cause K+ loss? spironolactone.
what kind of medications
are used to lessen the
heart's workload and help
it to work more efficiently
?
Inotropic medicine (improve
velocity of contractility) and
ACE i
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