TRANSPOSITION OF GREAT ARTERIES - ENGLISH
Nursing Notesclick here to subscribe My Student Support System
TRANSPOSITION OF
GREAT ARTERIES -
Transposition
of the great arteries is a serious but rare heart defect present at birth
(congenital), in which the two main arteries leaving the heart are reversed
(transposed). The condition is also called dextro-transposition of the great
arteries.
Transposition of the great
arteries changes the way blood circulates through the body, leaving a shortage
of oxygen in blood flowing from the heart to the rest of the body. Without an
adequate supply of oxygen-rich blood, the body can't function properly and your
child faces serious complications or death without treatment
Sign and symptoms -
Blue color of the skin
(cyanosis)
Shortness of breath
Lack of appetite
Poor weight gain
Labored Breathing
Heart failure
Diagnostic investigations include-
Physical
examination-auscultaion of chest.
Electrocardiography.
Chest X-ray.
Cardiac catheterization.
TREATMENT-
Surgery is required for all
babies with transposition of the great arteries early in life, usually within
the first week. The most common type of surgery to correct transposition when
identified in babies is the arterial switch operation. During this operation,
the surgeon moves the great arteries so they are connected to the correct
pumping chamber
NURSING MANAGEMENT-
Ø -Observation
of newborn and be alert to detect signs and symptoms of transposition of great
arteries.
Ø - If
signs of transposition of great arteries
are noted, the pediatrician should be informed immediately.
Ø -
Assessment of respiratory and cardiac status should be continue in pre
operative period.
Ø
-
Intake output chart is maintained so that nutritional status and water balance
is assessed.
Ø
-
IV fluid may be started to correct electrolyte and water imbalance as per
doctor’s order.
Ø
-
Anxiety level of parents is assessed and psychological support is provided to
alleviate anxiety.
Ø
-
Small and frequent feeding should be continue to maintain adequate nutritional
status.
Ø
-
Oxygen inhalation may be needed,which shoud be provided as per recomendation.
Ø
-
The child and parents should be prepared for surgery by providing answer of
their questions.
Ø
After surgery vital signs are monitored such
as heart rate , respiratory rate and temperature and recorded.
Ø
Surgical site care is provided with aseptic
technique to prevent infection and promote healing.
Ø
Other Nursing interventions – includes all nursing
care of hospitalized child that we have discussed in previous lecture under
heading Nursing care of hospitalized child in the lecture “Child Health
Nursing”.
Thank you sir
ReplyDelete