Altered Growth and Development - NCP for Atrial Septal Defect

Nursing Care Plan for Atrial Septal Defect

Atrial Septal Defect (ASD) is a congenital heart disease in the form of a hole (defect) in the interatrial septum (septum between the porch) that occurs due to malfunction during fetal interatrial septum. Atrial septal defect (ASD) is a hole in the wall (septum) that separates the upper heart (left atrium and right atrium). Cardiac abnormalities such as VSD is similar, but the location of the leak in the septum between the left atrium and right. These abnormalities lead to complaints that are lighter than the VSD. Atrial Septal Defect is an association (holes) on the abnormal septum that separates the right atrium and left atrium. Congenital heart defects requiring open heart surgery is the atrial septum defect.

The cause is not yet known with certainty, but there are several factors suspected to have an influence on the increase in the incidence of ASD. These factors include:
1. Prenatal Factors

• Mother suffered from rubella infection.
• Mother's alcoholism.
• Maternal age over 40 years.
• Mother suffered from IDDM.
• Mothers taking sedative drugs.

2. Genetic factors

• Children born before suffering from congenital heart disease.
• Father or mother suffering from congenital heart disease.
• Chromosomal abnormalities such as Down syndrome.
• Born with other congenital abnormalities.

Nursing Diagnosis for Atrial Septal Defect :
Altered Growth and Development related to the inadequate oxygen and nutrients to the tissues, social isolation.

Purpose:

• Children follow the growth curve of body weight and height.
• Children have the opportunity to participate in age-appropriate activities.

Outcomes Criteria :

• Children achieve adequate growth.
• Children perform age-appropriate activities
• Children do not experience social isolation.

Nursing Interventions

• Give a balanced diet high in nutrients to achieve adequate growth.
• Monitor height and weight; draw on a growth chart to determine the trend of growth.
• Can provide iron supplements to treat anemia, if recommended.
• Encourage age-appropriate activities.
• Emphasize that the child has the same needs as other children socialization.
• Allow the child to organize his own space and limitation of activity because the child will rest when tired.