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)

    -PGE1* (0.01mg/kg; may repeat at double dose x 3)

    -pressors

2) Tet spells

    -knee chest position

    -O2

3) CHF

    -diuretis, NTG, inotrops

4) Shock (resrictive lesion)

    -Dobutamine

• PGE1 Side Effects

-Apnea (intubate)

-Hypotension

-Bradycardia

-Hyperexia

-Flushing