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The child with an artificial valve replacement

Valve replacement
A cardiac surgery procedure in which a patient is failing valve and valve replaced with an alternate healthy valve It is open heart surgery

Who are at risk


Aortic stenosis Rheumatic fever Kawasaki disease

Kind of valve
Pig (porcine) Cow (bovine) Synthetic material (prosthetic) Human donor (homograft) Cadaver Ross procedures (pulmonary auto graft)

Complication
Blood clotting around the site Infection Hemolytic anemia

Hemorrhage

Management
Administer anticoagulation drug Administer prophylactic antibiotic therapy Anti-pletelet therapy Monitor blood analysis Monitor input and output

Nursing intervention
Explain to the client to avoid pregnancy Avoid using IUD Change the dressing regularly as ordered Monitor for pulse rate and VP Prefer for a blood transfusion

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