S.T.A.B.L.E. - Cardiac Module: Recognition and Stabilization of Neonates with Severe Chd

ISBN-13: 9781937967178 / Angielski / Miękka / 2021 / 220 str.

Kristine A. Karlsen; Collin G. Cowley

Spis treści

• Acronyms Used in this Book
• Introduction
  Part 1 History and Patient Assessment
• Incidence of Congenital Heart Disease (CHD)
• History and Patient Presentation
• Neonatal History
• Pregnancy, Labor, and Delivery History
• Maternal Medical History
• Recurrence Risk
• Patient Assessment
• Neurologic Status
• Physical Appearance – Size and Features
• Infant of the Diabetic Mother (IDM)
• Small for Gestational Age (SGA) Infants
• Syndromes and Chromosomal Abnormalities Associated with CHD
• Trisomy 21 (Down Syndrome)
• Trisomy 18 (Edwards Syndrome)
• Trisomy 13 (Patau Syndrome)
• What does it mean? Let’s talk about a persistent Patent Ductus Arteriosus (PDA)
• Monosomy X (Turner Syndrome – XO chromosome)
• CHARGE Syndrome
• VACTERL Association
• 22q11 2 Deletion Syndrome (22q11 2DS)
• What does it mean? Conotruncal
• Color
• Oxygen Saturation
• Vital Signs - Respiratory Rate and Effort
• Vital Signs – Heart Rate and Rhythm
• Treatment of SVT
• Adenosine
• Vital Signs – Blood Pressure (BP)
• Shock
• Bruit
• Pulses
• Skin Perfusion and Appearance
• Precordial Activity
• Heart Sounds
• Heart Murmur
• Liver Size and Location
• What does it mean? Situs solitus, situs inversus, and heterotaxy
• Diagnostic Tests
• Differential Diagnosis
  Part 2 Clinical Presentation and Stabilization of Neonates with Severe CHD
• What does it mean? Let’s talk about CHD that is ductal dependent
• Pharmacology – Prostaglandin E1 (PGE, Alprostadil, Prostin)
• Left-Sided Obstructive Lesions, Ductal Dependent for Systemic Blood Flow
• Underlying Concepts
• Coarctation of the Aorta
• Interrupted Aortic Arch
• Aortic Valve Stenosis
• Hypoplastic Left Heart Syndrome
• Left-sided Obstructive Lesions – Clinical Presentation
• Left-Sided Obstructive Lesions – Chest X-Ray
• Left-sided Obstructive Lesions – Initial Stabilization
• Case Study: 1-Day old infant with HLHS
• Cyanotic Congenital Heart Disease, Not Ductal Dependent for Pulmonary Blood Flow
• Underlying Concepts and Stabilizing the Cyanotic Neonate with Suspected CHD
• Tetralogy of Fallot
• Tetralogy of Fallot – Clinical Presentation
• Tetralogy of Fallot – Chest X-Ray
• Tetralogy of Fallot – Initial Stabilization
• What does it mean? Let’s talk about hypercyanotic/tet spells
• Hypercyanotic/Tet Spell – Treatment Principles
• What does it mean? Let’s talk about Double Outlet Right Ventricle (DORV)
• Tricuspid Atresia
• Tricuspid Atresia – Clinical Presentation
• Tricuspid Atresia – Chest X-Ray
• Tricuspid Atresia – Initial Stabilization
• Truncus Arteriosus
• Truncus Arteriosus – Clinical Presentation
• Truncus Arteriosus – Chest X-Ray
• Truncus Arteriosus – Initial Stabilization
• Total Anomalous Pulmonary Venous Connection
• Supracardiac TAPVC
• Cardiac TAPVC
• Infracardiac TAPVC (also called infradiaphragmatic)
• Total Anomalous Pulmonary Venous Connection – Clinical Presentation
• Total Anomalous Pulmonary Venous Connection – Chest X-Ray
• Total Anomalous Pulmonary Venous Connection – Initial Stabilization
• Ebstein Anomaly
• Ebstein Anomaly – Clinical Presentation
• Ebstein Anomaly – Chest X-Ray
• Ebstein Anomaly – Initial Stabilization
• Cyanotic Congenital Heart Disease, Ductal Dependent for Pulmonary Blood Flow
• Underlying Concepts
• Stabilizing the Cyanotic Neonate with Ductal Dependent Pulmonary Blood Flow
• Pulmonary Atresia with Intact Ventricular Septum (PA-IVS)
• Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) – Clinical Presentation
• Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) – Chest X-Ray
• Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) – Initial Stabilization
• What does it mean? Let’s talk about PA-IVS and Ventriculocoronary Connections
• Pulmonary Atresia and Ventricular Septal Defect (PA-VSD)
• Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) – Clinical Presentation
• Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) – Chest X-Ray
• Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) – Initial Stabilization
• Transposition of the Great Arteries (TGA)
• Transposition of the Great Arteries – Clinical Presentation
• Transposition of the Great Arteries – Chest X-Ray
• Transposition of the Great Arteries – Initial Stabilization
• What does it mean? What is the difference between D-TGA and L-TGA?
  Part 3 S.T.A.B.L.E. – Cardiac Module
• Introduction
• Sugar and Safe Care Module
• Glucose Production and Utilization Rate
• Initial IV Fluid Rate and Target Glucose Levels
• IV Access and Central Lines
• Umbilical Vein Catheter (UVC)
• Umbilical Artery Catheter (UAC) and Peripheral Arterial
• Umbilical Catheter Safety
• Peripherally Inserted Central Catheter (PICC)
• Temperature Module
• Airway Module
• O2 Saturation, Hemoglobin, and CHD
• O2 Content
• What does it mean? What is Regional Oximetry Monitoring – Near Infrared Reflective Spectroscopy (NIRS) Monitoring?
• Pulse Oximetry Screening (POS) for Critical Congenital Heart Disease (CCHD)
• Blood Pressure Module
• Methods for Measuring BP
• Oscillometric Measurement – How Does it Work?
• Lab Work Module
• Blood Sugar
• Blood Gas
• Lactic Acid/Lactate
• Electrolytes and Renal Function Tests
• Ionized Calcium
• Magnesium
• Liver Function Tests
• Complete Blood Count with Differential
• Cardiac Enzymes: B-Type Natriuretic Peptide (BNP) and Troponin I
• What does it mean? Let’s talk about Genetic Testing
• Emotional Support Module
• Appendix 1 – Palliative and Surgical Repair of the Lesions Discussed in this Book
• Appendix 2 – Medications Used in the Treatment of Neonates with CHD
• References
• Index