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Name: Sumbad, Mark Bhen E.

NBA-2

ACTIVITY 4
NURSING CARE OF A FAMILY WHEN A CHILD HAS A CARDIOVASCULAR DISORDER

INSTRUCTIONS: READ AND UNDERSTAND THE TOPIC.


REFERENCE: Pillitteri, Adele. Maternal and Child Health Nursing: Care of the
Childbearing and Childbearing Family. 6th edition. Wolters Kluwer, 2010.
1. Using a schematic diagram, show what occurs in the following cardiovascular disorders
with increased pulmonary blood flow:

a) VENTRICULAR SEPTAL DEFECT (VSD)

LEFT VENTRICLE
- GREATER PRESSURE

RIGHT VENTRICLE VENTRICULAR


- LESSPRESSURE SEPTAL DEFECT
( VSD )
 AN OPENING IS
PRESENT IN THE
SEPTUM BETWEEN
THE TWO
VENTRICLES.

RESULTS
TO

ACYANOTIC DISORDER

IMPAIRS THE EFFORT OF THE HEART AS


BLOOD THAT SHOULD GO INTO THE AORTA
AND OUT TO THE BODY IS SHUNTED BACK
INTO THE PULMONARY CIRCULATION.

RIGHT VENTRICULAR INCREASED PRESSURE IN THE


HYPERTROPHY
LEADING
TO PULMONARY ARTERY
b) ATRIALSEPTAL DEFECT (ASD)

RIGHT SIDE (ATRIUM) LEFT SIDE (ATRIUM)


 WEAK ER CONTRACTION  STRONGER CONTRACTION

ATRIAL SEPTAL DEFECT (ASD)


 AN ABNORMAL COMMUNICATION
BETWEEN THE TWO ATRIA

DUE
TOTHE
R E ASO N
OF

BLOOD FLOW IS FROM LEFT TO RIGHT


(oxygenated to deoxygenated
)

IT
CAUSES

RIGHT VENTRICULAR INCREASED PRESSURE IN THE


HYPERTROPHY PULMONARY ARTERY

INCREASE IN THE VOLUME IN THE


RIGHT SIDE OF THE HEART

c) PATENT DUCTUS ARTERIOSUS (PDA)


FROM PATENT DUCTUS ARTERIOSUS
(PDA)
 THE FAILURE TO CLOSE OF THE DUCTUS
ARTERIOSUS THAT CONNECTS THE
AORTA PULMONARY ARTERY TO THE AORTA
(OXYGENATE BLOO
)
dD D

TO T H E

INCREASED PRESSURE IN THE


AORTA

PULMONARY ARTERY
(DEOXYGENATED BLOOD
)
DUE
TO

LEADING TO THE SHUNTED


OFBLOOD

RETURNS TO THE LEFT ATRIUM OF THE HEART

PASSES TO THE LEFT VENTRICLE

OUTTO THE AORTA

SHUNTS BACK TO THE PULMONARY ARTERY

CAUSI NG

INCREASED PRESSURE IN THE PULMONARY CIRCULATION FROM THE EXTRA SHUNTED BLOOD

VENTRICLE HYPERTROPHY LEADI NG INEFFECTIVE HEART ACTION


TO
2. Write down one (1) nursing diagnosis and one (1) expected outcome for children with
cardiovascular disorders

 NURSING DIAGNOSIS
-  Inadequate blood pumped by the heart related to structural factors of
congenital heart defect.
 OUTCOME EVALUATION:
- Child will demonstrates adequate cardiac output as evidenced by blood pressure
and pulse rate and rhythm within normal parameters for patient; strong peripheral
pulses; and an ability to tolerate activity without symptoms of dyspnea, syncope, or
chest pain.