History Con genital Heart Disease Chro nic Lung Diseas - PDF document

Pediatric Cardiac Section Protocols History genital Heart Disease nic Lung Disease gestive heart failure Past medical history Symptoms Respiratory distresspoorfeedinglethargyweight gain cyanosis AdolescentRespiratory distressbilateral ralesapprehensionorthopneajugular vein distentionfrothy sputumperipheraledemadiaphoresis tension Pearls ommended examRespiratoryCardiac early in the care of the pediatric cardiac patient dren with CHF have a congenital heart defectobtain a precise past medical history tal heart disease varies by age : Tetralogy of Fallot, Transposition of the great arteriesCoarctation of the aortamonthsVentricular septal defects Atrioseptal defects MyocarditisPericarditisheart blocks ent of Congestive Heart Failure Pulmonary edema may vary depending on the underlying cause and may include the following with consultation by Medical Control : MorphineSulfatekg IV Max single dose dosekg IV Max single dose Dose determined after consultation of Medical Controlkg IV . Titrate to age specific systolic blood pressure t assume all wheezing is pulmonaryespecially in a cardiac childavoid albuterol unless strong history of recurrentwheezing secondary to pulmonary etiology discuss with Medical Control Differential gestive heart failure Asthma Anaphylaxis tion Pleural effusion Pneumonia nary embolus rdial tamponade Toxic Exposure Position child with head of bed in upposition Flexing hips with support under knees so that they are bent Transport to a Pediatric Specialty Center Airway PatentVentilations adequateOxygenation adequate Allergic ReactionAnaphylaxis NO NO YES YES Symptoms consistent with respiratory distress with crackles rales known CHF NO Pediatric Airway PediatricAllergic ReactionAnaphylaxis Protocol Lead ECG Procedure B I Cardiac Monitor if indicated P Pulse Oximetry / Notify Destination or Contact Medical Control Pediatric Pulmonary Edema / Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS IO Procedureif indicated P