Ventricular Septal Defect Nursing | NCLEX Pediatric Congenital Heart Defects
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Published 2018-10-05
What is a ventricular septal defect (VSD)? It’s a congenital heart defect that occurs when a “hole” forms in the ventricular septum. This causes an increase in blood flow to the lungs.
There are four types of ventricular septal defects:
-Membranous: a hole is found at the upper section of the ventricular septum and is very close to the tricuspid and aortic valves (Notes: if the hole is found too close to the valves, the valves can become damaged and lead to regurgitation…example aortic valve etc.)
-Muscular: found at the lower part of the septum in the muscle layer. Small muscular VSDs have a high chance of closing on their own.
-Outlet (conal or subarterial): found at structures where blood is leaving the heart around the pulmonic and aortic valve location...hence the name “outlet” (not as common)
-Inlet (atrioventricular canal): found at structures where blood is entering the heart around the tricuspid and bicuspid valve (mitral)
Pathophysiology of a ventricular septal defect includes heart failure and pulmonary hypertension due to a left to right shunt of blood. Please watch the video for an in-depth review of this.
If a VSD is left untreated, it can lead to Eisenmenger Syndrome, which is the reversal of blood shunting in the heart right to left. This will lead to cyanosis and clubbing of the nails.
Signs and symptoms of a VSD include heart murmur (pansystolic/holosystolic), decrease in weight or growth, swelling in the extremities, difficulty breathing, and frequent lungs infections etc.
Nursing intervention for a VSD include monitoring heart rate, rhythm, and sounds, administering medications (digoxin, diuretics, ACE inhibitors), monitoring for infection, nutrition etc.
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Notes: www.registerednursern.com/ventricular-septal-defec…
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All Comments (21)
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Hey Everyone! Thank you so much for watching. Don’t forget about: Quiz: www.registerednursern.com/ventricular-septal-defec… Notes: www.registerednursern.com/ventricular-septal-defec… Nursing Gear: teespring.com/stores/registerednursern More CHD Vids: https://www.youtube.com/watch?v=pemDBIlOCTs&list=PLQrdx7rRsKfX89n-pjVIbdZHbb74pmlKo Facebook: www.facebook.com/RegisteredNurseRNs/ Instagram: www.instagram.com/registerednursern_com/ Twitter: twitter.com/NursesRN
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Three days ago I took the NCLEX and today I learned that I passed. I promised myself that I will go back to your channel to leave a comment of appreciation. Your videos helped me a lot, particularly concepts that are difficult to understand on textbooks. I hope you continue making NCLEX review videos for many aspiring nurses. I wish you more power and success!
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How does it feel to know that you are the reason we are passing nursing school?!!! Your a true godsend. I cannot express my gratitude enough.
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When my instructor taught this lecture, it literally sounded like Spanish to me. Watching your videos on these defects has helped me understand what exactly is going on. Thank you so much for taking the time to explain topics like this to nursing students like me. Your hard work and excellent teaching skills do not go unnoticed.
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I'm currently pregnant and just found out my baby had VSD. This made me feel so much better with all the information you provided. We don't know yet the size of the hole but hoping at the next fetal Echo we can find out more
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Hi,Sarah! I took my NCLEX last Saturday (Oct 13,2018) and passed on my first try! I graduated 8 years ago but because of your videos it helped me passed the exam. Thank you so much! You're such a blessing and keep making videos pls!
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my school doesnt even make us know all the types! you always go up and beyond!!! thank you Sarah!!! im only in my forth semester of nursing school because of you!!!
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I am a second sem nursing student & your videos have helped me so much. You are the only reason I made it through 1st semester and will make it through 2nd, 3rd, 4th, and the boards. You explain topics so well! I greatly appreciate your videos and you make the greatest educational nursing videos on the internet. Cannot thank you enough for your time, effort, and relevant knowledge.
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I was born with a VSD and now in nursing school I love learning about cardiology!
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Thanks lot for your videos.I have been a Rn for 15 years and was preparing for certification exam. Ur videos helped me tremendously. Thanks a millin.
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Thank you for uploading videos and explaining it in a way that is easy to understand. I'll be testing in 7 days!
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No one really can imagine the pain when I found out that my baby has ventricular septal defect. But nurse Sarah made explained it well and it really helped me. Thank you!!!
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Thank you so much Serah, I"ve been watching your videos since first year and now I'm doing my fourth year 🤗
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Thanks for this video! I actually have this defect, and it's nice to see clarification on it. Plus for my nursing!!
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7 year ED nurse and making the jump to the world of Neo... Your videos are a life saver!!!!
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thank you thank you thank you! going to pass peds because of you and your amazing videos that make these topics so easy to understand!
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My peds final is next week, perfect timing!
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These videos are the only reason I'm passing nursing school right now
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Sarah is the best and she makes complex material easy to understand. I greatly appreciate you ❤🎉
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And u r the best best best teacher so well explain all the topics cannot thankyou enough and u make the topic very intresting and yes u have the most beautifull smile without ur content i would have failed failed failed my exams and quit medical school
