Cardiac Conditions Caring for children with cardiac conditions in a community program - PowerPoint Presentation

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Cardiac Conditions

Caring for children with cardiac conditions in a community program

2015-07-14

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

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 infection

Treatment

Medication

SurgeryHeart transplant

Fontan procedurePacemaker

Internal

Cardioverter

Defibrillator (ICD)

Activity restrictions

Most children with cardiac conditions can participate in physical activities without restrictions

For some children, competitive or excessively stressful activities may be restricted

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 condition

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 tired

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.

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

.

Child specific information

Type of cardiac condition

Activity restrictionsAdditional information

Health Care Plans are

located in child file and binder

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.

Tachycardia

Heart rate too fast to count

May experience fatigue, dizziness, lightheadedness, chest pain, shortness of breath, upset stomach, weakness

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.

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.

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 chest

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.

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 defibrillator

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 precautionsAvoid undercooked food

Avoid grapefruit

Avoid dusty areas, smoke

Avoid animals, gardening

Blood thinners

External bleeds

Mouth bleedsNose bleedsSurface cutsInternal bleeds

BruisingJoint & muscle bleedsLife-threatening bleeds

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.

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.

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.