MENNONITE COLLEGE OF NURSING AT ILLINOIS STATE UNIVERSITY NUR 471 Family Nurse Practitioner I Spring 2013 Cardiovascular Problems in Children Assigned Readings Burns, C.E. et al. (2013). Chapter 30 Pediatric Primary Care. Chiocca, E.M. (2011). Chapter 18 Advanced Pediatric Assessment. Hay, W.H. et al. (2012). Chapter 20 Current Diagnosis & Treatment: Pediatrics. Other helpful resources Westrol, M.S. & Raffi, K. (2012). Pediatric ECG Cases: Benign Variants or Life-Threatening Abnormalities? (posted on Assignments) Wierwille, L. (2011). Pediatric murmurs: Evaluation and management in primary care. The 36(3), 22-29. (posted on Assignments) nurse practitioner, Rheumatic clinical guidelines at Goal for FNPs significant pediatric cardiovascular abnormalities Recognizing Topics Cardiac Physical Examination Congenital Heart Disease Acquired Heart Disease Elements of the cardiac exasm History Pregnancy/Birth History: prenatal care, complicated prenatal course, maternal risk factors (diabetes assoc. with hypertrophic cardiomyopathy), prematurity, method of delivery, prolonged hospital stay, birth weight, APGARs Family History: CHD, sudden death, SIDS, cardiomyopathy (high incidence of inheritance, >20%), dysrhythmias, syndromes/genetic abnormalities Past Medical History General Health Concerns from parents Growth curve and weight gain (pay attention to stature of parents) Chronic respiratory difficulties- asthma, frequent URIs/pneumonia Other medical issues/surgeries Down Syndrome, Marfan Syndrome, etc. Important Questions Persistent tachypnea? Cyanosis? Failure to thrive? Tiring and/or diaphoresis with feeding/minimal activity?
MENNONITE COLLEGE OF NURSING AT ILLINOIS STATE UNIVERSITY NUR 471 Family Nurse Practitioner I Spring 2013 Cardiovascular Problems in Children Assigned Readings Burns, C.E. et al. (2013). Pediatric Primary Care. Chapter 30 Chiocca, E.M. (2011). Advanced Pediatric Assessment. Chapter 18 Hay, W.H. et al. (2012). Current Diagnosis & Treatment: Pediatrics. Chapter 20 Other helpful resources Westrol, M.S. & Raffi, K. (2012). Pediatric ECG Cases: Benign Variants or Life-Threatening Abnormalities? (posted on Assignments) Wierwille, L. (2011). Pediatric murmurs: Evaluation and management in primary care. The nurse practitioner, 36(3), 22-29. (posted on Assignments) Rheumatic clinical guidelines at Goal for FNPs Recognizing significant pediatric cardiovascular abnormalities Topics Cardiac Physical Examination Congenital Heart Disease Acquired Heart Disease Elements of the cardiac exasm History Pregnancy/Birth History: prenatal care, complicated prenatal course, maternal risk factors (diabetes assoc. with hypertrophic cardiomyopathy), prematurity, method of delivery, prolonged hospital stay, birth weight, APGARs Family History: CHD, sudden death, SIDS, cardiomyopathy (high incidence of inheritance, >20%), dysrhythmias, syndromes/genetic abnormalities Past Medical History General Health Concerns from parents Growth curve and weight gain (pay attention to stature of parents) Chronic respiratory difficulties- asthma, frequent URIs/pneumonia Other medical issues/surgeries Down Syndrome, Marfan Syndrome, etc. Important Questions Persistent tachypnea? Cyanosis? Failure to thrive? Tiring and/or diaphoresis with feeding/minimal activity?
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