Caring for children with cardiac conditions in a community program 20150714 How the Heart Works Collects oxygenpoor blood from body and pumps it to the lungs to get oxygen Pumps blood to the lungs and body by a sequence of organized ID: 594935
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Slide1
Cardiac Conditions
Caring for children with cardiac conditions in a community program
2015-07-14Slide2
How the Heart Works
Collects oxygen-poor blood from body and pumps it to the lungs to get oxygen
Pumps blood to the lungs and body by a sequence of organized contractions Slide3
Types of cardiac conditions
Congenital heart defects
Slows down or blocks blood flow in the heart or in the blood vessels near the heartArrhythmiasAbnormal heart beatsGenetic cardiac conditions
Acquired cardiac conditionsOccurs from infectionSlide4
Treatment
Medication
SurgeryHeart transplant
Fontan procedurePacemaker
Internal
Cardioverter
Defibrillator (ICD)Slide5
Activity restrictions
Most children with cardiac conditions can participate in physical activities without restrictions
For some children, competitive or excessively stressful activities may be restrictedSlide6
Infective
Endocarditis
Inflammation caused by an infection in the lining of the heartCaused by bacteria that gets into bloodCan lead to permanent damage of the heart
May require antibiotics before medical or dental procedure
Inform EMS that child has cardiac conditionSlide7
Congestive Heart Failure
Sweating during quiet time
Persistently rapid/labored breathingShortness of breathRapid heart rate or irregular heart rate
Chest painNasal flaring
Blueness on or around the mouth, eyes, ears, and/or finger tips
Listlessness (tired and unwilling to do normal activities)
Inability to stop coughing
Skin becomes increasingly pale or blue
Suddenly tiredSlide8
Responding to Congestive Heart Failure
Have child rest.
If condition doesn’t improve, contact parent/guardian.If symptoms do not improve and parent/guardian or emergency contact cannot be reached within 5 to 10 minutes, activate 911/EMS.
Place child on the floor in recovery position (lying on left side).Keep the airway open. Loosen any tight restrictive clothing.
Stay with child until EMS personnel arrive.
If the child
h
as
noisy
gurgled breathing,
call
911/EMS.Slide9
Loss of consciousness
Call 911/EMS.
Implement CPR and the use of an automated external defibrillator (AED), if available.Notify the parent/guardian.Inform EMS that the child has a cardiac condition
.Slide10
Child specific information
Type of cardiac condition
Activity restrictionsAdditional information
Health Care Plans are
located in child file and binderSlide11
Syncope
Temporary loss of consciousness
Passing out or faintingUsually occurs without warning and often during exercise
Call 911/EMS.
Implement CPR and the use of an automated external defibrillator (AED), if available.
Notify the parent/guardian.
Inform EMS that the child has a cardiac condition.Slide12
Tachycardia
Heart rate too fast to count
May experience fatigue, dizziness, lightheadedness, chest pain, shortness of breath, upset stomach, weaknessSlide13
Tachycardia
Have the child rest.
If symptoms do not improve with rest, contact the
parent/guardian.
If
the symptoms worsen with rest, call 911/EMS immediately.
If the parent/guardian or emergency contact cannot be reached, call 911/EMS.
Stay with the child until EMS personnel arrive.
Inform EMS that the child has a cardiac condition.Slide14
Bradycardia
Slow heart
rate May experience decreased level of activity, weakness, paleness, dizziness
Contact parent/guardian.
If child's condition does not improve
in 20 minutes and
you are unable to contact parent/guardian or
emergency
contact, call 911/EMS.Slide15
Pacemakers
Battery operated device used to maintain normal heart rhythm
May experience bradycardia and syncopeSome devices may interfere with the function of the defibrillatorSome sports may need to be avoided if they result in a blow to the chestSlide16
Internal Cardioverter
Defibrillator (ICD)
If child experiences an internal shockPut child in recovery position (lying on left side).Ensure child’s safety.
If child is responsive and received one shock, contact parent/guardian.
If parent/guardian or emergency contact cannot be reached, call 911/EMS.
If child is not responsive or received more than one shock, call 911/EMS.Slide17
Internal Cardioverter
Defibrillator (ICD)
Battery operated device implanted for in chest or abdomenIf ICD is not working and child experiences tachycardia or syncope – call 911/EMSSome sports may be restricted if they may result in a blow to the chest
Some devices may interfere with the function of the defibrillatorSlide18
Heart Transplant
Anti-rejection drugs
5 minute warm up, 5 minute cool down for vigorous exerciseNeeds at least 2 litres of water daily
Contact parent if child ill or exposed to communicable diseaseOther precautions
Avoid undercooked food
Avoid grapefruit
Avoid dusty areas, smoke
Avoid animals, gardeningSlide19
Blood thinners
External bleeds
Mouth bleedsNose bleedsSurface cutsInternal bleeds
BruisingJoint & muscle bleedsLife-threatening bleedsSlide20
Surface cuts
Nose bleeds
Mouth bleeds
Put on gloves.Clean skin.Apply firm continuous pressure until bleeding stops.
Apply bandage or dressing.
Encourage ice.
Call parent/guardian if bleeding does not stop after 20 minutes.
If unable to reach parent/guardian or emergency contact, call 911/EMS.Slide21
Bruising
Notify parent/guardian if bruise is increasing in size.
Muscle & Joint Bleeds
Have child rest.
Apply ice to injury.
Elevate injured body part.
Contact parent/guardian.
If unable to contact parent/guardian or emergency contact after 15 minutes, call 911/EMS.Slide22
Life-threatening Bleeds
If a child has a significant injury to the head, eye, neck, chest or abdomen (with or without signs)
Call 911/EMS.
Notify parent/guardian.