GNM 2nd & B. Sc (N) 3rd.... Pediatrics...

1. Congestive
cardiac failure
MS. BEENA VAZA

2. Introduction
CCF is a common
pediatric emergency.
It is also termed as
congestive heart failure.
It indicates inadequate
cardiac output.

3. Definition
+ Inability of the heart to maintain
an output at rest or during stress,
necessary for the metabolic needs
of the body and inability to receive
blood into the ventricular.

4. Etiology or
Causes
Congenital heart
disease
Acute rheumatic fever
Rheumatic heart
disease
Myocarditis

5. Hypertension
Cardiomyopathy
Chronic pulmonary
disease
Respiratory infection

6. Anemia
Nephrotic syndrome
Ventricular
tachycardia

7. Pathophysiology
Decrease cardiac output
⬇️
Inadequate supply of oxygen &
nutrition to the tissue
⬇️
Cell & tissue necrosis
⬇️

8. Myocardial failure
⬇️
Reduce heart pumping
⬇️
Cardiac failure

9. Sign &
symptoms
Impaired myocardial
function
Tachycardia
Weak peripheral pulses
Cool extrimeties

10. Pallor
Excessive perspiration
Activity intolerance
Dyspnea

11. Diagnostic
evaluation
History collection
Physical examination
Auscultation of heart
Chest x - ray

12. Management
Medical management
Symptomatic drugs
Supportive drugs
Oxygen therapy is important
to improve tissue oxygenation

13. Sedative should be given to
manage restlessness &
reduce anxiety
Iron supplements may be
needed for correction of
anemia
Potassium sparing mild
diuretic is also used in dose
of 1 to 4 mg/kg/day

14. Diet should be planned
with low salt for sodium
restrictions and to be given
in small amount frequently.
Diuretic ( frusemide) is
given orally or parenterally
(0.5 – 1.5 mg/kg).