Pediatrics
Congenital Heart Disease: Tetralogy of Fallot
A cyanotic heart defect consisting of four anomalies: VSD, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy.
Hypercyanotic Spell Management
- Place infant in knee-to-chest position
- Administer 100% oxygen by face mask
- Provide morphine to reduce infundibular spasm
- Remain calm to reduce child's distress
Post-op Care
- Monitor for arrhythmias
- Manage pain and maintain fluid balance
- Encourage small, frequent feedings to conserve energy
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