Tetralogy of Fallot is one of congenital cyanotic heart disease that is mostly found in children. Makalah ini membahas penatalaksanaan gigi dan mulut dalam. Makalah Tetralogy Of Fallot. Tetralogy of fallot merupakan kelainan jantung bawaan. Makalah ini akan membahas mengenai diagnosis dan tatalaksana dari . SA (sFnosis aorta), TGA (transposisi art€ri-aneri besar), dan TF. (Tetralogi Fallot) .r Penyakit janlung bawaan yang paling sering dijumpai adalah defek septum.

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Parasternal long axis color compare echocardiographic image showing the pulmonary artery conduit arising from the right ventricle.

InFallot described the anatomy as consisting of a subaortic ventricular septal defect VSDright ventricular infundibular stenosis, aortic tehralogi positioned to override the right ventricle, and right ventricular hypertrophy RVH. Other medications may also be prescribed. Selera makan Baik Sulit makan 2.

The prognosis depends on the specific anatomy and type of intervention. Natal a, Tempat melahirkan: If right ventricular outflow tract obstruction is severe, the mortality rate is high without palliative or corrective surgery. Prostaglandins — PGE1 Alprostadil promotes dilatation of the DA in infants withductal-dependent cardiac abnormalities. Furosemide Lasix — Increases excretion of water by interfering with chloride-binding cotransport system, which in turn inhibits sodium and chloride reabsorption in ascending loop of Henle and distal renal tubule.

It occurs slightly more often in males than in females. Darah yang miskin oksigen akan bercampur dengan darah yang kaya oksigen dimana percampuran darah tersebut dialirkan ke seluruh tubuh.

Birth weight is low. Pengobatan pada Serangan Sianosis a. Pemeliharaan kesehatan gigi dan THT, pencegahan endokarditis. Our current understanding of the embryology of this disease is that it is a result of anterior malalignment of the conal septum, resulting in the clinical combination of a VSD, pulmonary stenosis, and an overriding aorta. fallot


Konsep-Askep Tetralogi of Fallot

Taussig, and lab assistant Vivien Thomas at Johns Hopkins University developed a shunt procedure, which involved joining the left subclavian artery leaving the heart to the left pulmonary artery leading to the lungs. Good dental hygiene Endocarditis faplot Arrhythmia prophylaxis may be warranted.

It is associated with chromosome 22 deletions and diGeorge syndrome.

Setiap kali menangis 3. The aorta is positioned over the VSD instead of in the left ventricle.

Symptoms of Tetralogy Of FallotThese defects result in decreased fallog flow to the lungs and circulation of blue unoxygenated blood to the body tissues; both of these effects cause bluish skin cyanosisclubbing bulging of the nailbeds of the fingers and toes, shortness of breath, and extreme fatigue.

A decrease in systemic vascular resistance SVR during exercise, bathing, or fever potentiates a right-to-left shunt and causes hypoxemia. Prevention There is no known prevention. Diuretic agents — These agents promote excretion of water and electrolytes bythe kidneys. The Pott shunt and the Waterson procedure are other shunt procedures which were developed for the same purpose.

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Tetralogi Fallot – Bahan – [DOC Document]

The development of right ventricular hypertrophy is a result of progressive right heart failure arising from this combination, and can be minimized or even averted by early surgical repair. Polycythemia associated with chronic hypoxia causes hypercoagulability and thrombosis. Palliative surgeryo o oBlalock-Taussig shunt Pott procedure Waterston shuntTotal surgical correction with patch closure of the VSD and relief of the ventricular outflow obstruction is preferred see Picture 4.

Golongan darah ibuGolongan darah ayah 2. After each stage of surgical reconstruction, echocardiographic and Doppler evaluation of hemodynamic adequacy should be performed.

Konsep-Askep Tetralogi of Fallot – PDF Free Download

The degree of right ventricular outflow tract obstruction varies between patients and is generally the primary determinant of clinical symptoms and disease progression. Referat Tetralogy of Fallot fufkuy. Ablation of cells of the neural crest has been shown to reproduce conotruncal malformations. Hyperviscosity and coagulopathy often ensue and are particularly deleterious in patients with a right-to-left intracardiac shunt.


Do not provoke the infant by attempting to start an intravenous IV line, especially if not skilled in pediatric IV starts.

Tetralogi Fallot – Bahan

EKG elctrocardiogram showing the thickening of the right ventricle muscle CBC showing increased red blood cells Chest X-ray showing a “boot shaped” heart and dark lungs Cardiac catheterization Echocardiogram for the definitive diagnosisTreatmentSurgery to repair the defects in the heart is always performed relatively early in life.

Phenylephrine Neo-Synephrine — Strong postsynaptic alphareceptor stimulant with little beta-adrenergic activity; tetraloti vasoconstriction of arterioles, increasing peripheral venous return.

Natural history is determined mainly by the degree of RVOT obstruction. Third, the origin of the aorta is shifted toward the right side of the heart from the left. Symptoms Difficult feeding poor feeding habits Failure to gain weight Poor development Cyanosis which becomes more pronounced during periods of agitation Passing out Sudden death Clubbing of fingers skin or bone enlargement around the finger nails Shortness fsllot breathaggravated byexercise Squatting during episodes of cyanosisSigns And TestsA physical examination with a stethoscope almost always reveals a heart murmur.

At birth, infants may not show the signs falloy the cyanosis, but later may develop sudden frightening episodes of bluish skin from crying or feeding called “Tet spells”. General anesthesia is a last resort.