Materiały źródłowe

• #1 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #2 Environmental Public Health Tracking: Tetralogy of Fallot Data | Wisconsin Department of Health Services

  https://www.dhs.wisconsin.gov/epht/tetra.htm

  Tetralogy of Fallot is one type of birth defect. […] There is no known way to prevent the defect, but some of the problems later in life can be prevented or improved if the defect is found early. Mothers can take steps before and during pregnancy to have a healthy pregnancy. Such steps include taking a daily multivitamin with folic acid (400 micrograms), not smoking, and not drinking alcohol during pregnancy. […] Learn more about prevention and treatment on the CDC’s Facts about Tetralogy of Fallot page.

• #3 Tetralogy of Fallot

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7807827/

  Tetralogy of Fallot is characterised by the presence of a ventricular septal defect, overriding aorta, right ventricular outflow tract obstruction and right ventricular hypertrophy. […] Prevention of cyanotic spells is key for safe anaesthesia. […] Avoidance of reduction of SVR during induction of anaesthesia is vital in patients with an unrepaired ToF. […] It is important to avoid these triggers, many of which can occur around the time of anaesthesia or clinical procedures. […] The key principles are to avoid any precipitant that could induce a spell episode, and be prepared to manage profound desaturation whilst under anaesthesia if this happens, as described previously. […] Prophylaxis for endocarditis should be considered, depending on the planned surgery and advice of the specialty team.

• #4 Tetralogy of Fallot – Victor Chang Cardiac Research Institute

  https://www.victorchang.edu.au/heart-disease/tetralogy-of-fallot

  As the causes of Tetralogy of Fallot are mostly unknown, prevention may not be possible. […] It is however advisable to reduce the risk of Tetralogy of Fallot by taking the following steps: […] not drinking alcohol or smoking during pregnancy […] ensuring diabetes is well managed during pregnancy […] being vaccinated against rubella more than 28 days before pregnancy […] talking to your doctor about what medications may not be appropriate during pregnancy […] ensuring adequate nutrition during pregnancy.

• #5 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #6 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #7 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #8 Environmental Public Health Tracking: Tetralogy of Fallot Data | Wisconsin Department of Health Services

  https://www.dhs.wisconsin.gov/epht/tetra.htm

  Tetralogy of Fallot is one type of birth defect. […] There is no known way to prevent the defect, but some of the problems later in life can be prevented or improved if the defect is found early. Mothers can take steps before and during pregnancy to have a healthy pregnancy. Such steps include taking a daily multivitamin with folic acid (400 micrograms), not smoking, and not drinking alcohol during pregnancy. […] Learn more about prevention and treatment on the CDC’s Facts about Tetralogy of Fallot page.

• #9 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #10 Tetralogy of Fallot – Victor Chang Cardiac Research Institute

  https://www.victorchang.edu.au/heart-disease/tetralogy-of-fallot

  As the causes of Tetralogy of Fallot are mostly unknown, prevention may not be possible. […] It is however advisable to reduce the risk of Tetralogy of Fallot by taking the following steps: […] not drinking alcohol or smoking during pregnancy […] ensuring diabetes is well managed during pregnancy […] being vaccinated against rubella more than 28 days before pregnancy […] talking to your doctor about what medications may not be appropriate during pregnancy […] ensuring adequate nutrition during pregnancy.

• #11 Tetralogy of Fallot: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001567.htm

  There is no known way to prevent the condition. […] Some inherited factors may play a role in congenital heart disease. Many family members may be affected. If you are planning to get pregnant, talk to your provider about screening for genetic diseases. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Women who are pregnant should get good prenatal care: […] Avoid alcohol and illegal drugs during pregnancy. […] Tell your provider that you are pregnant before taking any new medicines. […] Have a blood test early in your pregnancy to see if you are immune to rubella. If you are not immune, avoid any possible exposure to rubella and get vaccinated right after delivery. […] Pregnant women who have diabetes should try to get good control over their blood sugar level.

• #12 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Get a rubella (German measles) vaccine. A rubella infection during pregnancy may affect a baby’s heart development. Get vaccinated before trying to get pregnant. […] Control blood sugar. If you have diabetes, good control of your blood sugar can reduce the risk of congenital heart defects. […] Manage chronic health conditions. If you have other health conditions, including phenylketonuria, talk to your healthcare team about the best way to treat and manage them. […] Avoid harmful substances. During pregnancy, have someone else do any painting and cleaning with strong-smelling products. […] Check with your healthcare team before taking any medications. Some medications can cause birth defects. Tell your healthcare team about all the medications you take, including those bought without a prescription.

• #13 Tetralogy of Fallot Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/tetralogy-of-fallot

  There is no known way to prevent the condition. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Pregnant women who have diabetes should try to get good control over their blood sugar level.

• #14 Tetralogy of Fallot – Victor Chang Cardiac Research Institute

  https://www.victorchang.edu.au/heart-disease/tetralogy-of-fallot

  As the causes of Tetralogy of Fallot are mostly unknown, prevention may not be possible. […] It is however advisable to reduce the risk of Tetralogy of Fallot by taking the following steps: […] not drinking alcohol or smoking during pregnancy […] ensuring diabetes is well managed during pregnancy […] being vaccinated against rubella more than 28 days before pregnancy […] talking to your doctor about what medications may not be appropriate during pregnancy […] ensuring adequate nutrition during pregnancy.

• #15 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Get a rubella (German measles) vaccine. A rubella infection during pregnancy may affect a baby’s heart development. Get vaccinated before trying to get pregnant. […] Control blood sugar. If you have diabetes, good control of your blood sugar can reduce the risk of congenital heart defects. […] Manage chronic health conditions. If you have other health conditions, including phenylketonuria, talk to your healthcare team about the best way to treat and manage them. […] Avoid harmful substances. During pregnancy, have someone else do any painting and cleaning with strong-smelling products. […] Check with your healthcare team before taking any medications. Some medications can cause birth defects. Tell your healthcare team about all the medications you take, including those bought without a prescription.

• #16 Tetralogy of Fallot Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/tetralogy-of-fallot

  There is no known way to prevent the condition. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Pregnant women who have diabetes should try to get good control over their blood sugar level.

• #17 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Get a rubella (German measles) vaccine. A rubella infection during pregnancy may affect a baby’s heart development. Get vaccinated before trying to get pregnant. […] Control blood sugar. If you have diabetes, good control of your blood sugar can reduce the risk of congenital heart defects. […] Manage chronic health conditions. If you have other health conditions, including phenylketonuria, talk to your healthcare team about the best way to treat and manage them. […] Avoid harmful substances. During pregnancy, have someone else do any painting and cleaning with strong-smelling products. […] Check with your healthcare team before taking any medications. Some medications can cause birth defects. Tell your healthcare team about all the medications you take, including those bought without a prescription.

• #18 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Get a rubella (German measles) vaccine. A rubella infection during pregnancy may affect a baby’s heart development. Get vaccinated before trying to get pregnant. […] Control blood sugar. If you have diabetes, good control of your blood sugar can reduce the risk of congenital heart defects. […] Manage chronic health conditions. If you have other health conditions, including phenylketonuria, talk to your healthcare team about the best way to treat and manage them. […] Avoid harmful substances. During pregnancy, have someone else do any painting and cleaning with strong-smelling products. […] Check with your healthcare team before taking any medications. Some medications can cause birth defects. Tell your healthcare team about all the medications you take, including those bought without a prescription.

• #19 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Get a rubella (German measles) vaccine. A rubella infection during pregnancy may affect a baby’s heart development. Get vaccinated before trying to get pregnant. […] Control blood sugar. If you have diabetes, good control of your blood sugar can reduce the risk of congenital heart defects. […] Manage chronic health conditions. If you have other health conditions, including phenylketonuria, talk to your healthcare team about the best way to treat and manage them. […] Avoid harmful substances. During pregnancy, have someone else do any painting and cleaning with strong-smelling products. […] Check with your healthcare team before taking any medications. Some medications can cause birth defects. Tell your healthcare team about all the medications you take, including those bought without a prescription.

• #20 Tetralogy of Fallot – Victor Chang Cardiac Research Institute

  https://www.victorchang.edu.au/heart-disease/tetralogy-of-fallot

  As the causes of Tetralogy of Fallot are mostly unknown, prevention may not be possible. […] It is however advisable to reduce the risk of Tetralogy of Fallot by taking the following steps: […] not drinking alcohol or smoking during pregnancy […] ensuring diabetes is well managed during pregnancy […] being vaccinated against rubella more than 28 days before pregnancy […] talking to your doctor about what medications may not be appropriate during pregnancy […] ensuring adequate nutrition during pregnancy.

• #21 Tetralogy of Fallot – Victor Chang Cardiac Research Institute

  https://www.victorchang.edu.au/heart-disease/tetralogy-of-fallot

  As the causes of Tetralogy of Fallot are mostly unknown, prevention may not be possible. […] It is however advisable to reduce the risk of Tetralogy of Fallot by taking the following steps: […] not drinking alcohol or smoking during pregnancy […] ensuring diabetes is well managed during pregnancy […] being vaccinated against rubella more than 28 days before pregnancy […] talking to your doctor about what medications may not be appropriate during pregnancy […] ensuring adequate nutrition during pregnancy.

• #22 Tetralogy of Fallot | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tetralogy-fallot

  Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. If you have a high risk of giving birth to a child with a congenital heart defect, genetic testing and screening may be done during pregnancy. […] There are some steps you can take to help reduce your child’s overall risk of birth defects, such as: […] Get proper prenatal care. Regular checkups with a healthcare team during pregnancy can help keep mom and baby healthy. […] Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce birth defects in the brain and spinal cord. It may help reduce the risk of heart defects as well. […] Don’t drink or smoke. These lifestyle habits can harm a baby’s health. Also avoid secondhand smoke.

• #23 Tetralogy of fallot secondary prevention – wikidoc

  https://www.wikidoc.org/index.php/Tetralogy_of_fallot_secondary_prevention

  According to the Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association, screening for tetralogy of Fallot by pulse oxymetry is recommended for all newborns. […] Effective measures for the secondary prevention of tetralogy of fallot include: […] According to the Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association, screening for tetralogy of Fallot by pulse oxymetry is recommended for all newborns.

• #24 Tetralogy of Fallot: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001567.htm

  There is no known way to prevent the condition. […] Some inherited factors may play a role in congenital heart disease. Many family members may be affected. If you are planning to get pregnant, talk to your provider about screening for genetic diseases. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Women who are pregnant should get good prenatal care: […] Avoid alcohol and illegal drugs during pregnancy. […] Tell your provider that you are pregnant before taking any new medicines. […] Have a blood test early in your pregnancy to see if you are immune to rubella. If you are not immune, avoid any possible exposure to rubella and get vaccinated right after delivery. […] Pregnant women who have diabetes should try to get good control over their blood sugar level.

• #25 Tetralogy of Fallot – UF Health

  https://ufhealth.org/conditions-and-treatments/tetralogy-of-fallot

  There is no known way to prevent the condition. […] Some inherited factors may play a role in congenital heart disease. Many family members may be affected. If you are planning to get pregnant, talk to your provider about screening for genetic diseases. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Women who are pregnant should get good prenatal care: Avoid alcohol and illegal drugs during pregnancy. Tell your provider that you are pregnant before taking any new medicines. Have a blood test early in your pregnancy to see if you are immune to rubella. If you are not immune, avoid any possible exposure to rubella and get vaccinated right after delivery. Pregnant women who have diabetes should try to get good control over their blood sugar level.

• #26 Tetralogy of Fallot

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7807827/

  Tetralogy of Fallot is characterised by the presence of a ventricular septal defect, overriding aorta, right ventricular outflow tract obstruction and right ventricular hypertrophy. […] Prevention of cyanotic spells is key for safe anaesthesia. […] Avoidance of reduction of SVR during induction of anaesthesia is vital in patients with an unrepaired ToF. […] It is important to avoid these triggers, many of which can occur around the time of anaesthesia or clinical procedures. […] The key principles are to avoid any precipitant that could induce a spell episode, and be prepared to manage profound desaturation whilst under anaesthesia if this happens, as described previously. […] Prophylaxis for endocarditis should be considered, depending on the planned surgery and advice of the specialty team.

• #27 Tetralogy of Fallot

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7807827/

  Tetralogy of Fallot is characterised by the presence of a ventricular septal defect, overriding aorta, right ventricular outflow tract obstruction and right ventricular hypertrophy. […] Prevention of cyanotic spells is key for safe anaesthesia. […] Avoidance of reduction of SVR during induction of anaesthesia is vital in patients with an unrepaired ToF. […] It is important to avoid these triggers, many of which can occur around the time of anaesthesia or clinical procedures. […] The key principles are to avoid any precipitant that could induce a spell episode, and be prepared to manage profound desaturation whilst under anaesthesia if this happens, as described previously. […] Prophylaxis for endocarditis should be considered, depending on the planned surgery and advice of the specialty team.

• #28 Challenges Faced in Managing an Adult Uncorrected Tetralogy of Fallot Patient with Pneumonia and Septic Shock in the Intensive Care Unit

  https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/21948/JPJ/fullText

  The goals of management in such a patient are preventing hypoxia, preventing falls in systemic vascular resistance (SVR), avoiding an increase in pulmonary vascular resistance (PVR), prevention acidosis, hypothermia, tachycardia, and hypovolemia. […] The challenges faced in managing uncorrected adult TOF patients with pneumonia and sepsis are the prevention of hypoxia, determining the adequate PaO2 levels for ventilating and weaning. […] Volume resuscitation plays an important role in septic shock patients. […] A good interpretation of altered physiology in TOF along with management of septic shock is essential for resuscitation.

• #29 Tetralogy of fallot prevention – wikidoc

  https://www.wikidoc.org/index.php/Tetralogy_of_fallot_prevention

  Factors that reduce systemic vascular resistance (SVR) may exacerbate shunting which in turn exacerbates cyanosis and should be avoided if at all possible in the patient with Tetralogy of Fallot. […] No known prevention exists for Tetralogy of Fallot. […] Antibiotic prophylaxis should be administered.

• #30 Tetralogy of Fallot

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7807827/

  Tetralogy of Fallot is characterised by the presence of a ventricular septal defect, overriding aorta, right ventricular outflow tract obstruction and right ventricular hypertrophy. […] Prevention of cyanotic spells is key for safe anaesthesia. […] Avoidance of reduction of SVR during induction of anaesthesia is vital in patients with an unrepaired ToF. […] It is important to avoid these triggers, many of which can occur around the time of anaesthesia or clinical procedures. […] The key principles are to avoid any precipitant that could induce a spell episode, and be prepared to manage profound desaturation whilst under anaesthesia if this happens, as described previously. […] Prophylaxis for endocarditis should be considered, depending on the planned surgery and advice of the specialty team.

• #31 Challenges Faced in Managing an Adult Uncorrected Tetralogy of Fallot Patient with Pneumonia and Septic Shock in the Intensive Care Unit

  https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/21948/JPJ/fullText

  The goals of management in such a patient are preventing hypoxia, preventing falls in systemic vascular resistance (SVR), avoiding an increase in pulmonary vascular resistance (PVR), prevention acidosis, hypothermia, tachycardia, and hypovolemia. […] The challenges faced in managing uncorrected adult TOF patients with pneumonia and sepsis are the prevention of hypoxia, determining the adequate PaO2 levels for ventilating and weaning. […] Volume resuscitation plays an important role in septic shock patients. […] A good interpretation of altered physiology in TOF along with management of septic shock is essential for resuscitation.

• #32 Challenges Faced in Managing an Adult Uncorrected Tetralogy of Fallot Patient with Pneumonia and Septic Shock in the Intensive Care Unit

  https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/21948/JPJ/fullText

  The goals of management in such a patient are preventing hypoxia, preventing falls in systemic vascular resistance (SVR), avoiding an increase in pulmonary vascular resistance (PVR), prevention acidosis, hypothermia, tachycardia, and hypovolemia. […] The challenges faced in managing uncorrected adult TOF patients with pneumonia and sepsis are the prevention of hypoxia, determining the adequate PaO2 levels for ventilating and weaning. […] Volume resuscitation plays an important role in septic shock patients. […] A good interpretation of altered physiology in TOF along with management of septic shock is essential for resuscitation.

• #33 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #34 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #35 Tetralogy of Fallot (Blue Baby Syndrome): Symptoms & More

  https://www.health.com/tetralogy-of-fallot-overview-7489235

  Because there is no proven research explaining what causes TOF, there is no known way to prevent the condition. Some risk factors for TOF are related to the birthing parents dietary habits. It is important to see a healthcare provider during pregnancy to discuss any potential risk factors. […] For those who do have heart surgery, physical activity exercise should be limited if shortness of breath is a recurring issue. Check with a cardiologist about physical limitations and recommendations for strenuous activities.

• #36 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #37 Tetralogy of Fallot in adults

  https://www1.racgp.org.au/ajgp/2024/july/tetralogy-of-fallot-in-adults

  Infective endocarditis is an important complication in patients with repaired TOF. This most commonly involves the pulmonary valve, particularly if there has been a prosthetic valve implanted (biological valve or homograft/allograft). Rarely, infection might involve the previous VSD patch repair. All patients should be strongly encouraged to have regular dental reviews to minimise the risk of endocarditis. In addition, in patients with prosthetic material or residual shunts, antibiotic prophylaxis is recommended for any invasive procedures. Detailed guidelines on antibiotic prophylaxis for the prevention of endocarditis is available through Therapeutic Guidelines. […] Good healthy practices, such as regular exercise to maintain cardiovascular fitness and dental hygiene to minimise endocarditis, should be encouraged.

• #38 SBE Prophylaxis – Pediatric Cardiology Associates of Houston

  https://www.kidsheartshouston.com/answers/21820-sbe-prophylaxis

  Children with certain forms of congenital heart defects are at higher risk of getting infections in the heart during times when bacteria may enter the bloodstream. […] Therefore, the American Heart Association recommends using antibiotics prophylactically prior to certain medical and surgical procedures to minimize this potential risk of infection. […] Now only children with the highest risk are recommended to use SBE prophylaxis. These include children with cyanotic heart disease that has not been repaired (for example tetralogy of Fallot, transposition of the great arteries, or tricuspid atresia). […] The types of procedures that require antibiotics include any type of dental work where even minimal bleeding may be expected. […] Usually the child should take one dose of antibiotic about one hour before the procedure or dental work is going to be performed.

• #39 Tetralogy of Fallot

  https://elsevier.health/en-US/preview/tetralogy-of-fallot-co

  Patients with uncorrected tetralogy of Fallot, and some patients after repair, require prophylaxis for subacute bacterial endocarditis before certain dental procedures […] Consider for dental procedures involving manipulation of gingival or periapical region of teeth or manipulation of oral mucosa […] Indicated for patients with the following: unrepaired cyanotic congenital heart disease, repairs using prosthetic material during the first 6 months after corrective surgery, prosthetic valves (including transcatheter valve) or prosthetic material used for valve repair, residual defects at the site or adjacent to the site of prosthetic patch after corrective repair, previous episodes of infective endocarditis.

• #40 SBE Prophylaxis – Pediatric Cardiology Associates of Houston

  https://www.kidsheartshouston.com/answers/21820-sbe-prophylaxis

  Children with certain forms of congenital heart defects are at higher risk of getting infections in the heart during times when bacteria may enter the bloodstream. […] Therefore, the American Heart Association recommends using antibiotics prophylactically prior to certain medical and surgical procedures to minimize this potential risk of infection. […] Now only children with the highest risk are recommended to use SBE prophylaxis. These include children with cyanotic heart disease that has not been repaired (for example tetralogy of Fallot, transposition of the great arteries, or tricuspid atresia). […] The types of procedures that require antibiotics include any type of dental work where even minimal bleeding may be expected. […] Usually the child should take one dose of antibiotic about one hour before the procedure or dental work is going to be performed.

• #41 SBE Prophylaxis – Pediatric Cardiology Associates of Houston

  https://www.kidsheartshouston.com/answers/21820-sbe-prophylaxis

  Children with certain forms of congenital heart defects are at higher risk of getting infections in the heart during times when bacteria may enter the bloodstream. […] Therefore, the American Heart Association recommends using antibiotics prophylactically prior to certain medical and surgical procedures to minimize this potential risk of infection. […] Now only children with the highest risk are recommended to use SBE prophylaxis. These include children with cyanotic heart disease that has not been repaired (for example tetralogy of Fallot, transposition of the great arteries, or tricuspid atresia). […] The types of procedures that require antibiotics include any type of dental work where even minimal bleeding may be expected. […] Usually the child should take one dose of antibiotic about one hour before the procedure or dental work is going to be performed.

• #42 Tetralogy of Fallot

  https://elsevier.health/en-US/preview/tetralogy-of-fallot-co

  Patients with uncorrected tetralogy of Fallot, and some patients after repair, require prophylaxis for subacute bacterial endocarditis before certain dental procedures […] Consider for dental procedures involving manipulation of gingival or periapical region of teeth or manipulation of oral mucosa […] Indicated for patients with the following: unrepaired cyanotic congenital heart disease, repairs using prosthetic material during the first 6 months after corrective surgery, prosthetic valves (including transcatheter valve) or prosthetic material used for valve repair, residual defects at the site or adjacent to the site of prosthetic patch after corrective repair, previous episodes of infective endocarditis.

• #43 Tetralogy of Fallot in adults

  https://www1.racgp.org.au/ajgp/2024/july/tetralogy-of-fallot-in-adults

  Infective endocarditis is an important complication in patients with repaired TOF. This most commonly involves the pulmonary valve, particularly if there has been a prosthetic valve implanted (biological valve or homograft/allograft). Rarely, infection might involve the previous VSD patch repair. All patients should be strongly encouraged to have regular dental reviews to minimise the risk of endocarditis. In addition, in patients with prosthetic material or residual shunts, antibiotic prophylaxis is recommended for any invasive procedures. Detailed guidelines on antibiotic prophylaxis for the prevention of endocarditis is available through Therapeutic Guidelines. […] Good healthy practices, such as regular exercise to maintain cardiovascular fitness and dental hygiene to minimise endocarditis, should be encouraged.

• #44 Preventing Arrhythmic Death in Patients With Tetralogy of Fallot: JACC Review Topic of the Week – Congenital Heart International Professionals (CHiP) Network

  https://thechipnetwork.org/preventing-arrhythmic-death-in-patients-with-tetralogy-of-fallot-jacc-review-topic-of-the-week/

  Despite improvement in the overall survival of patients with tetralogy of Fallot (TOF), the long-term risk of arrhythmias and sudden cardiac death (SCD) persists. […] Risk stratification should be based on non-invasive markers and judicious use of programmed ventricular stimulation in selected patients. […] Current guidelines and consensus statements recommend primary prevention ICD implantation in adults with TOF and multiple risk factors for SCD including LV dysfunction, nonsustained VT, QRS duration 180 ms, inducible sustained VT on programmed stimulation, extensive RV scarring, or diastolic dysfunction. […] A larger study with long term follow up is required to determine if an EP study comprising mapping and preventive ablation before or during PVR decreases the incidence of ventricular tachycardia. […] Until then, risk stratification with the aforementioned EP and imaging criteria, combined with a diligent record of progression of patient symptomatology, maybe used to guide surgical and antiarrhythmic therapy with appropriate utilization of invasive EP and ICD implantation.

• #45 Junctional ectopic tachycardia following tetralogy of fallot repair in children under 2 years | Journal of Cardiothoracic Surgery | Full Text

  https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-018-0749-y

  Junctional ectopic tachycardia is a serious arrhythmia that frequently occurs after tetralogy of Fallot repair. […] Generalization of preoperative prophylaxis for arrhythmia in all patients undergoing surgery for congenital heart defects is non-practical and preoperative identification of high risk patients is essential. […] Preoperative B-blockers significantly reduced JET. Patients with preoperative risk factors could benefit from preoperative arrhythmia prophylaxis and aggressive management of postoperative electrolyte disturbance is essential. […] Junctional ectopic tachycardia is a frequent complication after Tetralogy of Fallot repair. It has a benign course; however, it prolongs ICU stay after TOF repair. JET can be prevented by aggressive management of postoperative electrolyte disturbance.

• #46 Preventing Arrhythmic Death in Patients With Tetralogy of Fallot: JACC Review Topic of the Week – Congenital Heart International Professionals (CHiP) Network

  https://thechipnetwork.org/preventing-arrhythmic-death-in-patients-with-tetralogy-of-fallot-jacc-review-topic-of-the-week/

  Despite improvement in the overall survival of patients with tetralogy of Fallot (TOF), the long-term risk of arrhythmias and sudden cardiac death (SCD) persists. […] Risk stratification should be based on non-invasive markers and judicious use of programmed ventricular stimulation in selected patients. […] Current guidelines and consensus statements recommend primary prevention ICD implantation in adults with TOF and multiple risk factors for SCD including LV dysfunction, nonsustained VT, QRS duration 180 ms, inducible sustained VT on programmed stimulation, extensive RV scarring, or diastolic dysfunction. […] A larger study with long term follow up is required to determine if an EP study comprising mapping and preventive ablation before or during PVR decreases the incidence of ventricular tachycardia. […] Until then, risk stratification with the aforementioned EP and imaging criteria, combined with a diligent record of progression of patient symptomatology, maybe used to guide surgical and antiarrhythmic therapy with appropriate utilization of invasive EP and ICD implantation.

• #47 Junctional ectopic tachycardia following tetralogy of fallot repair in children under 2 years | Journal of Cardiothoracic Surgery | Full Text

  https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-018-0749-y

  Junctional ectopic tachycardia is a serious arrhythmia that frequently occurs after tetralogy of Fallot repair. […] Generalization of preoperative prophylaxis for arrhythmia in all patients undergoing surgery for congenital heart defects is non-practical and preoperative identification of high risk patients is essential. […] Preoperative B-blockers significantly reduced JET. Patients with preoperative risk factors could benefit from preoperative arrhythmia prophylaxis and aggressive management of postoperative electrolyte disturbance is essential. […] Junctional ectopic tachycardia is a frequent complication after Tetralogy of Fallot repair. It has a benign course; however, it prolongs ICU stay after TOF repair. JET can be prevented by aggressive management of postoperative electrolyte disturbance.

• #48 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #49 Tetralogy of Fallot in adults

  https://www1.racgp.org.au/ajgp/2024/july/tetralogy-of-fallot-in-adults

  Infective endocarditis is an important complication in patients with repaired TOF. This most commonly involves the pulmonary valve, particularly if there has been a prosthetic valve implanted (biological valve or homograft/allograft). Rarely, infection might involve the previous VSD patch repair. All patients should be strongly encouraged to have regular dental reviews to minimise the risk of endocarditis. In addition, in patients with prosthetic material or residual shunts, antibiotic prophylaxis is recommended for any invasive procedures. Detailed guidelines on antibiotic prophylaxis for the prevention of endocarditis is available through Therapeutic Guidelines. […] Good healthy practices, such as regular exercise to maintain cardiovascular fitness and dental hygiene to minimise endocarditis, should be encouraged.

• #50 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #51 Tetralogy of Fallot (Blue Baby Syndrome): Symptoms & More

  https://www.health.com/tetralogy-of-fallot-overview-7489235

  Because there is no proven research explaining what causes TOF, there is no known way to prevent the condition. Some risk factors for TOF are related to the birthing parents dietary habits. It is important to see a healthcare provider during pregnancy to discuss any potential risk factors. […] For those who do have heart surgery, physical activity exercise should be limited if shortness of breath is a recurring issue. Check with a cardiologist about physical limitations and recommendations for strenuous activities.

• #52 Tetralogy of Fallot: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/tetralogy-of-fallot-nursing-diagnosis-care-plan/

  Tetralogy of Fallot is a complex condition linked to the following: […] Alcohol consumption during pregnancy […] Health teaching must include regular follow up with a cardiologist. […] The patient will need lifelong follow-ups with a cardiologist who will monitor and manage the condition. […] Parents can help their children prevent symptoms and Tet spells by ensuring they are drinking enough fluids and not becoming dehydrated, not overexerting themselves, and adhering to their treatment plan. […] Children and adults with heart defects may need to take antibiotics prophylactically before dental or surgical procedures to prevent infection.

• #53 Tetralogy of Fallot in adults

  https://www1.racgp.org.au/ajgp/2024/july/tetralogy-of-fallot-in-adults

  Infective endocarditis is an important complication in patients with repaired TOF. This most commonly involves the pulmonary valve, particularly if there has been a prosthetic valve implanted (biological valve or homograft/allograft). Rarely, infection might involve the previous VSD patch repair. All patients should be strongly encouraged to have regular dental reviews to minimise the risk of endocarditis. In addition, in patients with prosthetic material or residual shunts, antibiotic prophylaxis is recommended for any invasive procedures. Detailed guidelines on antibiotic prophylaxis for the prevention of endocarditis is available through Therapeutic Guidelines. […] Good healthy practices, such as regular exercise to maintain cardiovascular fitness and dental hygiene to minimise endocarditis, should be encouraged.

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