A 3-month-old child was brought to emergency department with…
Question Answered step-by-step A 3-month-old child was brought to emergency department with… A 3-month-old child was brought to emergency department with history of severe bluish discoloration while crying followed by collapse. The mother gave a past history of such episodes with spontaneous recovery since birth. On physical examination, patient showed central cyanosis, PR was 155/min, respiratory rate was 50/min, BP-66/38 mmHg, SPO2- 55%. On auscultation, systolic ejection murmur was found at left upper sternal border. Lab investigation were within normal limits except elevated hematocrit. ECG showed right axis deviation and right ventricular hypertrophy. Chest X-ray demonstrated boot-shaped heart and pulmonary oligemia. Echocardiography revealed right ventricular outflow obstruction with RVH, non-restrictive ventricular septal defect with right to left shunt and infundibular pulmonary stenosis. care plan on this Health Science Science Nursing NUR 240 Share QuestionEmailCopy link Comments (0)


