Ventricular Septal Defect Nursing | NCLEX Pediatric Congenital Heart Defects

Ventricular septal defect (VSD) nursing NCLEX review over the pathophysiology, signs and symptoms, complications, nursing interventions, and treatments.
What is a ventricular septal defect (VSD)? It’s a congenital heart defect that occurs when a “hole” forms in the ventricular septum. This causes an increase in blood flow to the lungs.
There are four types of ventricular septal defects:
-Membranous: a hole is found at the upper section of the ventricular septum and is very close to the tricuspid and aortic valves (Notes: if the hole is found too close to the valves, the valves can become damaged and lead to regurgitation…example aortic valve etc.)
-Muscular: found at the lower part of the septum in the muscle layer. Small muscular VSDs have a high chance of closing on their own.
-Outlet (conal or subarterial): found at structures where blood is leaving the heart around the pulmonic and aortic valve location...hence the name “outlet” (not as common)
-Inlet (atrioventricular canal): found at structures where blood is entering the heart around the tricuspid and bicuspid valve (mitral)
Pathophysiology of a ventricular septal defect includes heart failure and pulmonary hypertension due to a left to right shunt of blood. Please watch the video for an in-depth review of this.
If a VSD is left untreated, it can lead to Eisenmenger Syndrome, which is the reversal of blood shunting in the heart right to left. This will lead to cyanosis and clubbing of the nails.
Signs and symptoms of a VSD include heart murmur (pansystolic/holosystolic), decrease in weight or growth, swelling in the extremities, difficulty breathing, and frequent lungs infections etc.
Nursing intervention for a VSD include monitoring heart rate, rhythm, and sounds, administering medications (digoxin, diuretics, ACE inhibitors), monitoring for infection, nutrition etc.
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[@RegisteredNurseRN]

Hey Everyone! Thank you so much for watching. Don’t forget about: Quiz: www.registerednursern.com/ventricular-septal-defect-vsd-nclex-questions/ Notes: www.registerednursern.com/ventricular-septal-defect-vsd-nclex-review/ Nursing Gear: teespring.com/stores/registerednursern More CHD Vids: kzbin.info/www/bejne/ppbQdXV_obR2itU Facebook: facebook.com/RegisteredNurseRNs/ Instagram: instagram.com/registerednursern_com/ Twitter: twitter.com/NursesRN

[@kiiks1]

This is timely. I have an exam on this on Monday. Thank you.

[@kiiks1]

I made a 105 on my test. Thank you again.

[@annanna1159]

Would you please add the note for this lecture like any other lectures you have done. Thank you so much!

[@RegisteredNurseRN]

@@annanna1159 I've added the notes. Thank you for letting me know. I don't know how I missed it lol.

[@annanna1159]

@@RegisteredNurseRN Thank you so much! Could you also please add the notes for tetralogy of fallot. I will watch all your videos. They are the best videos for nursing students out there. You have helped me so much; thank you again!

[@evelynmeza888]

How does it feel to know that you are the reason we are passing nursing school?!!! Your a true godsend. I cannot express my gratitude enough.

[@albinopoy]

Three days ago I took the NCLEX and today I learned that I passed. I promised myself that I will go back to your channel to leave a comment of appreciation. Your videos helped me a lot, particularly concepts that are difficult to understand on textbooks. I hope you continue making NCLEX review videos for many aspiring nurses. I wish you more power and success!

[@RegisteredNurseRN]

I just wanted to write back to you and say CONGRATULATIONS!! Thank you for studying with me. I'm so glad the videos have helped you. I wish you the best in your new career as a nurse.

[@natashabenjamin4222]

Grats!!

[@kmot2010]

When my instructor taught this lecture, it literally sounded like Spanish to me. Watching your videos on these defects has helped me understand what exactly is going on. Thank you so much for taking the time to explain topics like this to nursing students like me. Your hard work and excellent teaching skills do not go unnoticed.

[@rheamora349]

Hi,Sarah! I took my NCLEX last Saturday (Oct 13,2018) and passed on my first try! I graduated 8 years ago but because of your videos it helped me passed the exam. Thank you so much! You're such a blessing and keep making videos pls!

[@RegisteredNurseRN]

Yay, congrats! That is so awesome. I hope you have an amazing, blessed nursing career! Thanks for studying with me!

[@kaylakuhnwald1]

I'm currently pregnant and just found out my baby had VSD. This made me feel so much better with all the information you provided. We don't know yet the size of the hole but hoping at the next fetal Echo we can find out more

[@coconutsciencegirl9232]

my school doesnt even make us know all the types! you always go up and beyond!!! thank you Sarah!!! im only in my forth semester of nursing school because of you!!!

[@_francescaleonie]

No one really can imagine the pain when I found out that my baby has ventricular septal defect. But nurse Sarah made explained it well and it really helped me. Thank you!!!

[@Chelseaaa626]

I am a second sem nursing student & your videos have helped me so much. You are the only reason I made it through 1st semester and will make it through 2nd, 3rd, 4th, and the boards. You explain topics so well! I greatly appreciate your videos and you make the greatest educational nursing videos on the internet. Cannot thank you enough for your time, effort, and relevant knowledge.

[@rheamora349]

Thank you for uploading videos and explaining it in a way that is easy to understand. I'll be testing in 7 days!

[@insertsomethingcool5]

I was born with a VSD and now in nursing school I love learning about cardiology!

[@Ms88Chick]

Did you have to get surgery

[@angchhotisherpa223]

@@Ms88Chick I have VSD but I only knew when I was 19 and I havenot done surgery I am 32 now

[@jerseystrum5211]

I was born with a VSD as well. I am currently a freshman in college to major in Exercise and Sports Physiology so I can continue a career in cardiac rehab.

[@cromwell13dehalgo59]

Iam also have vsd and iam 46 years old '' go to the outdoor got lot of freshair

[@akwasiatuahene8433]

Same I was also born I had to stay in the hospital for three days

[@majojo2039]

Thanks lot for your videos.I have been a Rn for 15 years and was preparing for certification exam. Ur videos helped me tremendously. Thanks a millin.

[@rosankotsi9344]

Thank you so much Serah, I"ve been watching your videos since first year and now I'm doing my fourth year 🤗

[@xiaco8309]

These videos are the only reason I'm passing nursing school right now

[@Lynker]

Thanks for this video! I actually have this defect, and it's nice to see clarification on it. Plus for my nursing!!

[@angelajohnson86]

7 year ED nurse and making the jump to the world of Neo... Your videos are a life saver!!!!

[@victoriaedwards1847]

Sarah is the best and she makes complex material easy to understand. I greatly appreciate you ❤🎉

[@spandanpate]

And u r the best best best teacher so well explain all the topics cannot thankyou enough and u make the topic very intresting and yes u have the most beautifull smile without ur content i would have failed failed failed my exams and quit medical school

[@Info_And_Facts]

you are the best at explaining things, thumb up👍

[@NurAmir-iz4iz]

very interesting and usefule lecture

[@ITzyBItzify]

i wish you did echo videos for sonography, but these still help me a lot thanks :)

[@oliviakathryn6816]

thank you thank you thank you! going to pass peds because of you and your amazing videos that make these topics so easy to understand!

[@taylorrobeson9194]

My peds final is next week, perfect timing!

[@ketakidave9209]

Thank You Sarah . More videos on Air embolism , Pulmonary Embolism for Nclex Reviews. A short videos on difference between Peripheral Vascular disease & Peripheral Venous Disease . Preparing for NCLEX exam.

[@kimberlyhouseworth4711]

your videos are so helpful for my Human Anatomy and Physiology flex class. thank you! Ps. I was born with VSD and had open heart in 1987 at the age of 2. To anyone who finds out their baby has VSD- they can have a normal life. Thank you to Syracuse Children's Hospital

[@aishaemirawidyani7276]

Thankyou for creating this video. You help me a lot!!!

[@uzomamakassy]

Hi you should make a video on tips on how to answer any nursing questions in nursing schools

[@vivekkumar31071]

Excellent explanation, thanks for your beautiful videos

[@kishabarksdale2908]

I attend class lecture for attendance, but I come to your videos to learn. Thank you so much❤️❤️❤️

[@catou16]

Lol same thing with me the whole time am sitting in class am thinking I can’t wait for my girl Sarah to explain this to me because I am lost

[@victoriaedwards1847]

Same😊

[@shivanibaloni7834]

Amazing. .just love. Ur explainations♥👍

[@jessicadenise3870]

aaaah thank you! still learning about heart defects by tuesday! this helped me as well! you're awesome, truly appreciate these videos

[@lifeisbeautiful7047]

mort than just perfect ..Tahnk you !

[@pratibhakhokhar7717]

Will you do a review on psychiatric conditions too , it will be really helpful for nclex prep ... Got a big guidance since now from your awsome lectures

[@pratibhakhokhar7717]

Plz rply .... Really need help in psychiatry

[@guzmani2]

Yes my instructor is not helpful and need help !

[@nabiryehasifa3126]

Thanks u have simplified my work

[@dharmchris2818]

Thanks so much for your videos i'm a rpn trying for my RN after 12 years in Canada wondering if testing would be similar in Canada any suggestion would help

[@laxmanpaneru4504]

very nice video and it clear my confusios

[@prasiddhijain8534]

Heyy..... I'm from India , not actually persuing nursing , but bachelor's of physical therapy...... this video was actually helpful 😊 More importantly , the quiz section was amazing , very important to check our knowledge...... Thanks a lot ...keep it up👍👍

[@sherifshaker22]

Awesome thank you so much Mrs Sarah 🌸

[@user-xu8pt6uy8h]

No words are enough to thank you my dear. ❤️❤️❤️

[@dinkg.mariam4279]

Thank u so much.

[@linzeenewman7544]

I was born with a vsd. I had two holes in my heart but one closed up but I still have the other one but it’s very small now

[@renyvarughese4649]

Great class...

[@sachini6651]

thank you ...thank you...thank you...

[@user-us6kz9jd1d]

Thanks dear

[@comfortbotchway4585]

God richly bless you

[@michaelstele5871]

My daugher is studying to be a paramedic and she and I began talking about heart defects. She said, 'Yeah, Dad, your heart sounds like it has wind going through it!' Haha I've had both an ASD and VSD since birth (57 years ago). Neither have been repaired.

[@kajmiiir__RN_BSN_CCRN]

Can we get stuff on VSD in Adults? And papillary muscle rupture.... havent found anything on internet about this

[@reagarcia4123]

thankyou so much!

[@harshuthakkar678]

If somebody can answer my question I will be obliged forever. I have a minor vsd since childhood but I'm 18 years old now and my life is just fine and normal however I do.feel that when I'm in panic situations my heart beat goes much drastically above more than I think of fellow mates could it be a contributing factor to that or am I just bullshiting myself for being much more angry than I should be often.

[@kirankumarvatnal2693]

I have a large VSD with hypotension.. left to right shunt...is this condition is operable.?

[@AndrewChun791]

Thanks!

[@RegisteredNurseRN]

Thank you so much!

[@madisonclark1491]

as always, thank you :)

[@rubangill2200]

you the best

[@dawnnorth3535]

More. Videos. Please.

[@JG-yx1to]

Hi. I'm 23 and I have this defect since I was born. The doctors waited for the hole to close itself and it never did. I'm living a normal life since then, but I wonder if it's normal that patients don't get the surgery and they can live their entire life being healthy, me included 💖

[@sharrysingh6872]

Love you❤

[@rcz2023]

👍

[@tahirzai136]

My son has a big hole in his heart. He is seven months old. The doctor has asked me to operate on him.

[@rinascreekhomestead3312]

How is your son? Did he have the operation? My baby is 2 weeks old tomorrow and already showing signs of struggle with his vsd he isn't gaining weight since his heart has to work so hard. We will need the operation some day.

[@7mode7000]

I think I'm the only one from high school here !

[@allenthomas2759]

Sara can you do me a help

[@rcz2023]

👍