KRISTIAN KARL B.

KIW-IS
BSN IV-A

TETRALOGY OF FALLOT
Precipitating Factors:
Predisposing Factors: - Environmental
- Genetics - Stress
o DiGeorge Syndrome - Rubella
- Age = at birth - Alcoholism

Alteration in Fetal Development

- Unequal growth of the
aorticopulmonary septum

Aorta too large C. Overriding Aorta

Steals space from B. Pulmonary Stenosis

Pulmonary artery

Prevents ventricular A. Ventricular Septal

Right Ventricular wall closure Defect
Outflow Obstruction

Mixing of oxygenated Increase ventricular

and deoxygenated blood contraction

Decrease O2 supply to D. Right Ventricular

systemic circulation Hypertrophy

Hypoxia  Cyanosis
 Tet Spells
 Dyspnea on exertion
 Clubbing of fingers and toes
Nursing diagnosis:  Heart murmurs
 Low birth weight
 Decreased Cardiac Output  Poor feeding
 Activity Intolerance  Growth and development
 Compromised Family may be delayed
Coping  Polycythemia
 Risk for Injury
 Risk for Infection
KRISTIAN KARL B. KIW-IS
BSN IV-A

If treated If not treated

Diagnostic Exam: Medications: Transient increase in resistance to

- CBC  Vancomycin blood flow to the lungs
- 2D Echo Gentamicin
- ABG  Aspirin
 Frusemide Worsen tet spells
Treatment:  Spironolactone
- Medications Paracetamol
- O2 theraphy Decrease organ perfusion
Surgery:
- Surgery *including “brain”
 Shunt
 Cardiac
catheterization
Partially improved oxygenation - Hypoxic brain injury
- Organ failure

May improved length and quality

of life DEATH