Tetralogy of Fallot
By: Nence Lieu
Kerron Mc Sween - Burke
Abe Clements
Myo Oo
Tetralogy of Fallot (TOF)
Defect With Decreased Pulmonary Blood flow
1) Large ventricular septal defect (VSD),
which is a hole between the two ventricles
or pumping chambers in the heart
2) Pulmonary stenosis, which is narrowing
beneath or in the blood vessel leading to
the lungs
3) Overriding of the aorta, in which the aorta
lies directly above the ventricular septal
defect; and
4) As a result of these events, the right
ventricle becomes thickened or
hypertrophied.
Clinical Manifestation
Cyanosis (turning blue) Oxygen will not help!
Clubbing of the flingers (late stage)
Hypoxia (lack of oxygen)
Heart Murmur (during auscultation)
Tet Spells - acute extreme cyanotic event
Lack of growth
Inability to gain weight
Visibility during an echo
SOB
Syncope
Possible altered LOC
And irritability!
Nursing Interventions
Calm the child (avoid any excessive
activity)
Family teachings - procedure to patch the hole
Corrective surgery usually happens in the first year of life
High caloric density foods (given via
feeding tube)
Clustering care
Knee chest positioning
Possible sedation
Medications
Prostaglandins (to keep the PDA open)