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tetralogy of fallot…

 

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heart, section, the middle, tetralogy of fallot, cyanotic 'tet spell', tet, tof, a type of heart defect present at birth, congenital, consisting of four different abnormalities, results in insufficiently oxygenated blood pumped, body causing cyanosis, bluish discoloration, the skin, most congenital heart defects, multiple factors, involved, prenatal factors associated, higher than normal risk, condition include maternal rubella, viral illnesses, pregnancy, poor prenatal nutrition, maternal alcoholism, mother over 40 years old, diabetes, higher incidence of tetralogy of fallot in children, down syndrome, a common genetic disorder which results from having an extra 21st chromosome, tetralogy of fallot is classified, a cyanotic heart defect, the condition causes, insufficiently oxygenated blood to be pumped, leads to cyanosis, a bluish-purple coloration, skin, classic form of tetralogy includes 4 defects, the heart structures, ventricular septal defect, hole between the right, left ventricles, narrowing, the pulmonic outflow tract, tube that connects the heart, the lungs, an aorta, tube that carries oxygenated blood, arises from both ventricles, rather than exclusively, left ventricle, a thickened muscular wall, the right ventricle, right ventricular hypertrophy, flow of deoxygenated, blue, blood, general body circulation, decreased blood flow, lungs, at birth, infants, not show the signs, the cyanosis, develop sudden frightening episodes of bluish skin from crying, feeding, "tet spells", tetralogy of fallot occurs in approximately 5 out of 10,000 infants, difficult feeding, poor feeding habits, failure to gain weight, poor development, cyanosis which becomes more pronounced, periods of agitation, passing out, sudden death, clubbing of fingers, skin, bone enlargement around the finger nails, squatting, episodes of cyanosis, a physical examination, a stethoscope always reveals a heart murmur, ekg, elctrocardiogram, showing the thickening, the right ventricle muscle, cbc showing increased red blood cells, chest x-ray showing a "boot shaped" heart, dark lungs, cardiac catheterization, echocardiogram, the definitive diagnosis, surgery, repair the defects, in the heart is always performed relatively early in life, a preliminary surgery to create increased blood flow, lungs, definitive corrective surgery, corrective surgery widens the narrowed pulmonary valve, ventricular septal defect is closed, parents of children, tetralogy of fallot, assisted in coping, interventions to consider, a child does, become blue, parent should immediately place the child on his/her side, put the knees up, chest, calm the baby, seek medical attention, feeding the child slowly, giving smaller, frequent meals, decreasing the child's anxiety by remaining calm, minimizing crying by trying to anticipate the child's needs, recruiting others to care, the child, prevent parental exhaustion, burn-out, most cases, surgically corrected, prognosis, probable outcome, surgery is good, surgery, death, occurs around 20 years old, delayed growth, seizures, periods of insufficient oxygen, new unexplained symptoms develop, patient is having an episode of cyanosis, blue skin, no known prevention.



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