Patent Ductus Arteriosus Ligation In Children
WHAT YOU SHOULD KNOW:
Patent Ductus Arteriosus Ligation In Children (Discharge Care) Care Guide
- Patent Ductus Arteriosus Ligation In Children Discharge Care
- Patent Ductus Arteriosus Ligation In Children Inpatient Care
- Patent Ductus Arteriosus Ligation In Children Precare
- En Espanol
- Patent Ductus Arteriosus (r-teer-e-O-sus) is called a "PDA." It is a channel or path that connects two large arteries that come out of the top of the heart. The two arteries are called the aorta and the pulmonary artery. Before a baby is born, the PDA is called a Ductus Arteriosus or "DA." The DA is important because it causes most of the blood to bypass the baby's lungs. The lungs do not need much blood since unborn babies do not breathe air. The placenta acts like a lung for unborn babies. After birth, babies do not need the DA anymore because they need blood going to their lungs. The DA is supposed to close shortly after birth. A DA that does not close after birth is called a PDA.
- After birth, a PDA causes some of the blood from the aorta to leak back into the pulmonary artery. This is not supposed to happen since the blood from the aorta has already been to the lungs once. The circling of blood caused by the PDA makes extra work for the heart and lungs. The heart has to pump harder than normal to send enough blood and oxygen out to the body. In time, this may cause congestive (kun-JES-tiv) heart failure.
AFTER YOU LEAVE:
- Keep a written list of what medicines your child takes and when and why your child takes them. Bring the list of your child's medicines or the pill bottles when you visit your child's caregivers. Ask your child's caregiver for more information about the medicines. Do not give any medicines to your child without first asking your child's caregiver. This includes prescriptions, over-the-counter drugs, vitamins, herbs, or food supplements.
- Always give your child's medicine as directed by caregivers. Call your child's caregiver if you think your child's medicines are not helping. Also, call your child's caregiver if you feel your child is having side effects from the medicines. Do not quit giving the medicines to your child until you discuss it with your child's caregiver. If your child is taking antibiotics (an-ti-bi-AH-tiks), give them until they are all gone.
- Never give aspirin to your child without first asking your child's caregiver. Giving aspirin to your child when he is ill may cause a very serious illness called Reye's syndrome. Read medicine labels to see if your child's medicine has aspirin.
Ask for more information about where and when to take your child for follow-up visits:
For continuing care, treatments, or home services for your child, ask for information.
Children usually get better quickly after surgery. Let your child rest as much as needed. Your child may return to normal activity when your child's caregiver says it is OK.
When your child is allowed to bathe, carefully wash the stitches or staples with soap and water. Afterwards put on a clean, new bandage. You should change your child's bandage any time it gets wet or dirty. Your child may have steri-strips (thin strips of tape) on his incision. Keep them clean and dry. As they start to peel off, let them fall off by themselves. Do not pull them off.
Colds or the Flu:
Keep your child away from people who have colds or the flu. Also try to keep your child away from large groups of people. This lessens your child's chance of getting sick or getting an infection.
Your child may be able to eat when bowel sounds (stomach growling) are heard. A caregiver will listen to your child's stomach for bowel sounds using a stethoscope (STETH-uh-skop). A caregiver will then let you know what your child can eat. Ice chips are usually given first and then liquids (water, broth, apple juice, or clear soda). If your child does not have problems after drinking liquids, a caregiver may let your child eat soft foods. Some examples of soft foods are ice cream, applesauce, or pudding. If your child does OK with soft food, he may begin eating a regular diet.
- Most children stop having heart problems after the PDA is closed. But heart problems can be life-changing for you, your child, and your family. Accepting that your child has or did have heart problems is hard. You and your child may feel angry, sad, or frightened. These feelings are normal. Talk to your caregivers, family, or friends about your feelings. Let them help you. Encourage those close to you to talk to your caregiver about how things are at home. Your caregiver can help your family better understand how to support a person recovering from PDA and surgery.
- You may also want to join a support group. This is a group of people who also have heart problems caused by a PDA. Ask your caregiver for the names and numbers of support groups in your town. You can contact the following national organization for more information.
- American Heart Association
7272 Greenville Avenue
Dallas , TX 75231-4596
Phone: 1- 800 - 242-8721
Web Address: http://www.heart.org
- American Heart Association
- Feed your child healthy food from all of the 5 food groups: fruits, vegetables, breads, dairy products, meat and fish. Eating healthy foods may help your child feel better and have more energy. It may also help your child get better faster.
- Have your child drink enough liquid each day. Follow your child's caregiver's advice if your child is on a fluid restriction. Good liquids to drink are water, juices, and milk. Limit the amount of caffeine your child drinks, such as tea and soda pop.
- It is very important not to smoke around your child. Second-hand smoke harms your child's heart, lungs, and blood. It is never too late to quit smoking if you smoke. You will help yourself and those around you by not smoking. Ask your caregiver for the CareNotes™ handout on how to stop smoking if you are having trouble quitting.
- Talk to a caregiver before your child starts exercising to be sure it is safe to do so. Encourage your child to exercise. It helps make the heart stronger, lowers blood pressure, and keeps your child healthy.
CONTACT A CAREGIVER IF:
- Your child has a fever.
- Your child's stitches/staples come apart.
- Your child has pain that will not go away.
- The skin around your child's stitches is red, swollen, or has pus coming from the incision (cut). This may mean that your child has an infection.
- Your child has chills, a cough, or sounds congested. These are signs that your child may have an infection.
- Your child's skin is itchy, swollen, or has a rash. Your child's medicine may be causing these symptoms. This may mean your child is allergic (uh-LER-jik) to his medicine.
- You have questions or concerns about your child's surgery or medicine.
SEEK CARE IMMEDIATELY IF:
- Your child's bandage becomes soaked with blood.
- Your child has trouble breathing all of a sudden. This could be a sign that your child has a blood clot in his lung. It could also mean that your child is allergic to a medicine he is taking.
© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of the Blausen Databases or Truven Health Analytics.
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.