ACTIVE LEARNING TEMPLATE:
System Disorder
Gerald Logan
STUDENT NAME______________________________________
Atrial Septal Defect
DISORDER/DISEASE PROCESS___________________________________________________________
REVIEW MODULE CHAPTER____________
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Health Promotion and
Disease Prevention
Hole in the septum between the atria allows
blood to flow between them, increasing blood
flow into the lungs, causing volume overload
ASSESSMENT
Risk Factors
SAFETY
CONSIDERATIONS
Expected Findings
- Typically asymptomatic
- Hyperdynamic precordium on inspection
- Fixed split second heart sound and systolic ejection murmur
on auscultation
- Right ventricular heave along left sternal border on palpation
Laboratory Tests
Diagnostic Procedures
- Echocardiography (to confirm diagnosis)
- Electrocardiogram (to monitor the heart rhythm)
- Chest X-ray (to show enlargement of the heart)
- Catheterization (if pulmonary hypertension is
present)
PATIENT-CENTERED CARE
Nursing Care
- Improve oxygenation
- Promote adequate nutriton
- Prevent infection
- Assist child/family to cope
- Provide pre- and post operative care
- Provide patient teaching to family
Complications
Medications
Client Education
Diuretics manages fluid
volume
overload
- Pulmonary
hypertension
- Pulmonary edema
- Tachypnea
- Frequent respiratory
infections
Therapeutic Procedures
- Corrective surgery
Interprofessional Care
- Failure to thrive
- Atrial arrhythmias
- Heart failure
-Stroke
ACTIVE LEARNING TEMPLATES