Patent Ductus
Arteriosus
Presented By:
Angelica R.
Maria H.
Mervet A.
Ani E.
Pathophysiology
Ductus arteriousus remains open after birth. This creates
a left to right shunt of blood from the aorta (high
pressure) to the pulmonary artery (low pressure) and
results in recirculation of pulmonary blood through the
lungs
Clinical Manifestations
:
● Murmurs
● Fatigue / Activity Intolerance
● Signs of HF(wheezing, coughing, lower
extremity edema)
● Widened pulse pressure
● Bounding Pulses
● Rapid heart rate
● Persistent fast breathing
● Poor feeding
Nursing Interventions
Clustering Care
Monitoring frequently VS, ECG, electrolyte levels, intake,
weight, I&O.
Administer Indomethacin and Ibuprofen Lysine per MD
orders
If the infant receives indomethacin, watch for possible
adverse effects, such as diarrhea, jaundice, bleeding,
and renal dysfunction.
Oxygen therapy per MD orders
If the infant is not able to feed, encourage the mother to
express breast milk so infant can be fed via NG tube
Monitor fluids to prevent fluid overload
Pre-operative
Before surgery (cardiac catheterization or
closed heart surgery), explain all treatments
and tests to parent/caregiver, and tell them
about expected IV lines, monitoring equipment,
and postoperative
Post-operative
after surgery, the child may have a central
venous pressure catheter and an arterial line in
place so careful assessment of VS, I&O.