Tet Spells.docx

Cardiology “A 1 year old child known case of congenital heart disease was brought to paediatric Emergency department .mother complains that he suddenly turned restless and irritable . On examination he is fully cyanosed, tachypnic with gasp like respiration ,&digital clubbing Present? From which congenital heart disease he is suffering from? What is current issue due to which he was brought to hospital? Write 3 more Complications? How will u manage this child? ANSWERS A. TERATOLOGY OF FALLOT B. Tet spells/hypercyanotic attacks . 1)cerebrovascular accidents. 2)brain abscess 3)bacterial endocarditis 4failure to thrive C. 1)oxygen inhalation 2) place the child in knee chest position 3)Morphine sulphate(0.2 mg/kg subcutaneously) 4)management of metabolic acidosis: bicarbonate 5)propranolol (0.1-0.2mg/kg slow intravenous ) REFERENCE : Basis of paediatrics By Parveez Akbar pagno.355 -358