Processo de enfermagem aplicado ao paciente com tetralogia de Fallot / Proceso de enfermería aplicado al paciente con tetralogia de Fallot / Nursing process applied to patient with tetralogy of Fallot

Objetivo: Descrever os passos do processo de enfermagem aplicado ao paciente portador de tetralogia de Fallot, fundamentado na NANDA-I, Nursing Interventions Classification (NIC) e Nursing Outcomes Classification (NOC). Método: Trata-se de um caso clínico desenvolvido em um hospital universitário localizado no nordeste brasileiro. Ressalta-se que este estudo foi apreciado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte, que o aprovou com número de Certificado de Apresentação para Apreciação Ética: 07614812.6.0000.5537. Resultados: Entre os quatro diagnósticos de enfermagem identificados, elencou-se um prioritário, o qual foi intolerância a atividade. O resultado, nível de atividade e de fadiga moderadamente comprometido, e as intervenções correspondiam a cuidados cardíacos: fase aguda. Conclusão: Após a execução do plano de cuidados, observou-se que as ações implementadas contribuíram consideravelmente para a melhora do estado de saúde da paciente, de forma a colaborar para o aumento da autoconfiança e independência da mesma, apesar das limitações inerentes à própria doença (AU)

Objetivo: Describir los pasos del proceso de enfermería aplicado al paciente portador de tetralogia de Fallot, fundamentado en la NANDA-I, Nursing Interventions Classification (NIC) y Nursing Outcomes Classification (NOC). Método: Se trata de un caso clínico desarrollado en un hospital universitario localizado en el nordeste brasileño. Se resalta que este estudio fue apreciado por el Comité de Ética en Investigación de la Universidad Federal del Río Grande del Norte, que lo aprobó con número de Certificado de Presentación para Apreciación Ética: 07614812.6.0000.5537. Resultados: Entre los cuatro diagnósticos de enfermería identificados, ha enumerado es una prioridad, el cual fue intolerancia la actividad. El resultado, nivel de actividad y de fatiga moderadamente comprometido, y las intervenciones correspondían a cuidados cardíacos: fase aguda. Conclusiones: Después de la ejecución del plan de cuidados, se observó que las acciones implementadas contribuyeron considerablemente para la mejora del estado de salud de la paciente, e forma a colaborar para el aumento de la autoconfiança e independencia de la misma, a pesar de las limitaciones inherentes a la propia enfermedad (AU)

Objective: To describe the steps of the nursing process applied to patients with tetralogy of Fallot, based on NANDA-I, Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC). Method: This is a clinical case developed in a university hospital located in Northeast Brazil. It should be noted that this study was appreciated by the Ethics Committee of the Federal University of Rio Grande do Norte, which it approved it with number of Certificate of Presentation for Ethical Assessment: 07614812.6.0000.5537. Results: Among the four identified nursing diagnoses, has listed is a priority, which was intolerant of activity. The result, compromised moderately fatigue and activity of level, and interventions accounted for cardiac care: acute phase. Conclusions: After the execution of the care plan, it was observed that the actions taken have contributed significantly to the improvement of the health status of the patient, in order to contribute to increasing confidence and independence of it, despite the limitations inherent to the disease (AU)

Neonates with congenital cardiac defects with decreased pulmonary blood flow.

Lesions that cause decreased pulmonary blood flow are those that obstruct the RVOT. In general, the radiographic presentation includes the following: (1) Thin, poorly visualized pulmonary blood vessels with little extension beyond the perihilar region; (2) Dark, hyperlucent lung fields; and (3) Moderate to severe cardiomegaly, depending on the cardiac defect(s) present.

A case study: meet Louise.

Louise is now three years old. She is the youngest of three children. Two months after birth she was referred by her GP to the cardiac unit for investigations of a heart murmur. She had an echocardiogram which showed a ventricular septal defect with overriding aorta. A diagnosis of Fallots Tetralogy was made.

Tetralogy of Fallot.

This article has discussed TOF, its occurrence, physiology, medical interventions and nursing implications. In its classic form, TOF consists of four anatomical aberrations: a large VSD, pulmonic stenosis, dextroposition of the aorta, and right ventricular hypertrophy. Surgical palliation versus primary intracardiac repair is a continuing discussion in medical literature. Children who have undergone intracardiac repair for TOF have an excellent prognosis for late survival, near 90% 10 years after repair. Nursing responsibilities in the care of the newborn diagnosed as having TOF encompass the well-being of the newborn as well as the family. Palliation increases pulmonary arterial flow, thus decreasing cyanosis and promoting measurable clinical improvement in the infant. Preparation of the family and child for surgery involves completing a baseline assessment of family dynamics, diagnosing stressors, composing objectives, carrying out interventions focused on developmental ability, and evaluating the effectiveness of the nursing process. Maintaining the physical and emotional integrity of a child just out of the operating room is a challenge. Parental support is important to the young child's feelings of security while hospitalized.