MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 4-month-old is scheduled to take Digoxin for treatment of a VSD. The patient’s apical pulse is 89 beats per minute. As the nurse what will you do:(select all that apply):
A
Hold the dose
B
Recheck the pulse via the brachial artery
C
Administer the dose as scheduled
D
Notify the physician
Explanation: 

Detailed explanation-1: -Another medication frequently used in the setting of a VSD is digoxin (Lanoxin). Digoxin increase calcium levels in heart cells, thereby improving overall heart function. Surgery is occasionally necessary to close a VSD. This most commonly occurs in the setting of a large or moderate size defect.

Detailed explanation-2: -A surgeon uses a patch or stitches to close the hole between the lower heart chambers. This type of VSD surgery requires a heart-lung machine and an incision in the chest. Catheter procedure. Some ventricular septal defects can be repaired using thin, flexible tubes (catheters) without the need for open-heart surgery.

Detailed explanation-3: -All babies who have tetralogy of Fallot need corrective surgery performed by a heart (cardiovascular) surgeon. Without treatment, your baby might not grow and develop properly. Your doctor will determine the most appropriate surgery and the timing of the surgery based on your or your child’s condition.

Detailed explanation-4: -Medication Summary Diuretics are the mainstay of medical therapy in infants and children with large ventricular septal defects (VSDs), large left-to-right shunts, and evidence of congestive heart failure (CHF). Many centers also use digoxin, but some debate surrounds its efficacy, especially in infants.

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