A father is in the cardiac intensive care unit holding the hand of his 1-week-old daughter. After discharge, the mother and father noted that the baby had rapid breathing and was a poor eater. Her color was mottled with crying and she seemed to sweat when distressed. They took the baby back to the pediatrician's office for a weight check and were immediately transported to a local children's hospital for cardiac evaluation. The parents believe they are responsible because the mother did not receive medical care during her pregnancy. This baby is their third child, and they did not have medical insurance after the father lost his job. Worried about how they are going to pay the medical bills, they met with financial counselors who are assisting them with information and filing paperwork. Because both parents are high-school dropouts, neither reads well and they struggle to understand their daughter's diagnosis of TOF. Consisting of four defects, TOF is a congenital cardiac defect that: 1. Requires increasing cardiac workload and the efficiency of heart function. 2. Allows desaturated blood to enter the systemic system without passing through the lungs. 3. Causes shunting from the left side of the heart to the right side with outflow obstruction. 4. Increases pulmonary blood flow, allowing shunting of blood and leading to pulmonary hypertension.

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter9: The Medication Order
Section: Chapter Questions
Problem 25RQ
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A father is in the cardiac intensive care unit holding the hand of his 1-week-old daughter. After
discharge, the mother and father noted that the baby had rapid breathing and was a poor eater. Her
color was mottled with crying and she seemed to sweat when distressed. They took the baby back to the
pediatrician's office for a weight check and were immediately transported to a local children's hospital
for cardiac evaluation. The parents believe they are responsible because the mother did not receive
medical care during her pregnancy. This baby is their third child, and they did not have medical
insurance after the father lost his job. Worried about how they are going to pay the medical bills, they
met with financial counselors who are assisting them with information and filing paperwork. Because
both parents are high-school dropouts, neither reads well and they struggle to understand their
daughter's diagnosis of TOF.
Consisting of four defects, TOF is a congenital cardiac defect that:
1. Requires increasing cardiac workload and the efficiency of heart function.
2. Allows desaturated blood to enter the systemic system without passing through the lungs.
3. Causes shunting from the left side of the heart to the right side with outflow obstruction.
4. Increases pulmonary blood flow, allowing shunting of blood and leading to pulmonary hypertension.
Transcribed Image Text:A father is in the cardiac intensive care unit holding the hand of his 1-week-old daughter. After discharge, the mother and father noted that the baby had rapid breathing and was a poor eater. Her color was mottled with crying and she seemed to sweat when distressed. They took the baby back to the pediatrician's office for a weight check and were immediately transported to a local children's hospital for cardiac evaluation. The parents believe they are responsible because the mother did not receive medical care during her pregnancy. This baby is their third child, and they did not have medical insurance after the father lost his job. Worried about how they are going to pay the medical bills, they met with financial counselors who are assisting them with information and filing paperwork. Because both parents are high-school dropouts, neither reads well and they struggle to understand their daughter's diagnosis of TOF. Consisting of four defects, TOF is a congenital cardiac defect that: 1. Requires increasing cardiac workload and the efficiency of heart function. 2. Allows desaturated blood to enter the systemic system without passing through the lungs. 3. Causes shunting from the left side of the heart to the right side with outflow obstruction. 4. Increases pulmonary blood flow, allowing shunting of blood and leading to pulmonary hypertension.
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