Atrial Septal Defect (ASD) Nursing | Congenital Heart Defects Pediatrics NCLEX
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Published 2018-10-18
What is atrial septal defect (ASD)? It's a congenital heart defect characterized by a hole in the interatrial septum (atrial septum) that allows blood to mix in the right and left atria, which are the upper chambers of the heart. This allows for a connection of blood flow between the two atria that should not occur after birth.
According to the CDC.gov, 1 in every 770 babies born in the United States each year are born with an atrial septal defect
Why is an atrial septal defect a problem?
If the defect if larger enough (small ASDs usually don’t cause many issues), it creates a left to right shunt of blood that can lead to an INCREASE in LUNG BLOOD FLOW. This can cause:
Heart failure
Pulmonary hypertension… (if not treated this can lead to an irreversible condition can Eisenmenger Syndrome)
Stroke
Signs and symptoms of an atrial septal defect may not present at birth but later on in childhood or adulthood. A heart murmur may be noted. Atrial septal defect murmur includes a midsystolic murmur (systolic ejection murmur) that is heard at the 2nd intercostal space in the upper left sternal border. This is due to extra blood flow through the pulmonic valve. In addition, that may be a wide, fixed splitting of S2 due to the pulmonic valve closing slower than normal.
The patient may experience decrease growth rate, easily fatigued, edema, frequent lung infections, stroke etc.
Nursing inventions for an atrial septal defect: please see the video for these interventions
Quiz: www.registerednursern.com/atrial-septal-defect-ncl…
Notes: www.registerednursern.com/atrial-septal-defect-ncl…
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All Comments (21)
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Hey Everyone! Thank you for studying with me :) Don't forget: Quiz: www.registerednursern.com/atrial-septal-defect-ncl… Notes: www.registerednursern.com/atrial-septal-defect-ncl… More Congenital Heart Defect Vids: https://www.youtube.com/watch?v=pemDBIlOCTs&list=PLQrdx7rRsKfX89n-pjVIbdZHbb74pmlKo Nursing Gear: teespring.com/stores/registerednursern Facebook: www.facebook.com/RegisteredNurseRNs Twitter: twitter.com/NursesRN Instagram: www.instagram.com/registerednursern_com/
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This channel is a great resource for learning! Books are one thing, but a live person explaining everything from the inside out is a whole different story and quality! Thanks a lot!
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First of all.... my professors can’t teach... second... thanks for taking over. Big fan
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Sarah, class is cancelled right now due to COVID-19. Your videos are saving my life. Thank you for being awesome!
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I'm a second year student now, and because of this pandemic I'm having a hard time studying CHD's, but thanks to you I manage to understand it. A truly life saver for us medical students. Thank you so much!
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Now I know the difference between PFO and the different types of ASD. Thank you so much Sarah you’re such a wonderful person and a blessing to all of the nurses and those who are entering into a healthcare/medical field. God bless you more! Have a wonderful time always!
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These videos are absolutely wonderful!! Your videos have helped me for the last 2 years! I'm about to graduate in 30 days!! Thank you so much!!
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I was going to see if you had videos on congenital heart defects this week because we are currently covering this in class. And then, BOOM it popped up in my subscriptions. Amazing
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You teach better than professors and doctors. Love ❣️ you
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I love all your videos!!! I'm a foreign educated nurse and your videos helped me alot! I learned alot from you. Thank you Sarah!!!
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Thank you so much. Really enjoyed watching and helped me make some effective notes!!!!
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Thanks so much for now I can explain to my fellow students since I got you very well
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So helpful! I am taking my peds cardiac test in a few days, and this is PERFECT!!!
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Thank you for being a great nurse ❤️ I hope one day I will as great as you are.
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I was very confused about this topic but thank you breaking it down i understand now.
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Thanks again for a great lecture! I learned so much !
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I love your videos! I have a peds cardiac test in 2 weeks.
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Thank you very much , you are gorgeous and your videos are very helpful , better than my lectures
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Very informative @ RegisteredNurseRn.. Love from St.Lucia😊
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Very nice.You're explaining like Professor of Cardiac Department.Good Wishes for You.