Congenital heart disease

Diagnosis

1. Pulse Ox non-responsive to O2
2. Hepatomegaly
3. High pulse pressure (also sepsis)
4. Murmur
5. Blood pressure in 3 limbs

Treatment (by presentation)

1. Cyanosis (shunt)
   1. PGE1* (0.01mg/kg; may repeat at double dose x 3)
   2. pressors
2. Tet spells
   1. knee chest position
   2. O2
3. CHF
   1. diuretis, NTG, inotrops
4. Shock (resrictive lesion)
   1. Dobutamine

PGE1 Side Effects

1. Apnea (intubate)
2. Hypotension
3. Bradycardia
4. Hyperexia
5. Flushing