← All Guides / Paediatric Congenital Heart Disease
GCC Nursing Guide — Paediatric Congenital Heart Disease
Paediatric Cardiology PICU GCC Context GCCNurseJobs.com Platform Updated Apr 2026

Definition: Congenital heart disease (CHD) is a structural abnormality of the heart or great vessels present at birth. It is the most common congenital malformation, affecting approximately 8 per 1,000 live births. In the GCC, rates are higher due to consanguinity.

Acyanotic CHD — Left-to-Right Shunts

Blood shunts from high-pressure left side to low-pressure right side. Lungs become over-circulated. Cyanosis absent unless Eisenmenger syndrome develops (pulmonary hypertension reverses shunt).

VSDVentricular Septal Defect — most common CHD overall
ASDAtrial Septal Defect — often asymptomatic to adulthood
PDAPatent Ductus Arteriosus — aorta to pulmonary artery
AVSDAtrioventricular Septal Defect — associated with Down syndrome
CoarctationNarrowing of aorta — obstructive, not true shunt
Aortic StenosisObstruction to LV outflow — obstructive lesion

Cyanotic CHD — Right-to-Left Shunts

Deoxygenated blood enters systemic circulation. Presents with central cyanosis. Often duct-dependent in neonates — prostaglandin E1 is life-saving.

Tetralogy of FallotMost common cyanotic CHD
TGATransposition of Great Arteries — neonatal emergency
Pulmonary AtresiaAbsent pulmonary valve — duct-dependent
Tricuspid AtresiaAbsent tricuspid valve — single ventricle physiology
TAPVRTotal Anomalous Pulmonary Venous Return
Truncus ArteriosusSingle great vessel from both ventricles

The "5 Ts" of Cyanotic CHD — Exam Mnemonic

T
Tetralogy of Fallot

VSD + pulmonary stenosis + overriding aorta + RVH. Most common cyanotic CHD.

T
Transposition (TGA)

Aorta arises from RV, pulmonary artery from LV. Neonatal emergency. PGE1 + arterial switch.

T
Truncus Arteriosus

Single truncal vessel. Early surgery required. Associated with DiGeorge syndrome (22q11).

T
Tricuspid Atresia

Absent tricuspid valve. Requires systemic-pulmonary shunt then Fontan palliation.

T
TAPVR

Total Anomalous Pulmonary Venous Return. Obstruction is surgical emergency — severe cyanosis, pulmonary oedema.

Pulmonary Atresia is sometimes listed as a 6th T variant. Always verify with local exam board guidelines.

Clinical Presentation

  • Neonatal cyanosis — central (tongue/mucous membranes), not peripheral
  • Poor feeding & sweating with feeds — classic VSD/LV failure sign (increased metabolic demand)
  • Failure to thrive — inadequate caloric intake + increased work of breathing
  • Heart murmur — not all CHD produces murmur (e.g. TGA may be silent initially)
  • Recurrent chest infections — large L-R shunts cause pulmonary overcirculation
  • Clubbing — chronic hypoxia, years; not present in neonates
  • Squatting — classic in Tetralogy of Fallot; increases SVR, decreases R-L shunt
  • Hepatomegaly — right heart failure, systemic venous congestion
🔎

Neonatal Pulse Oximetry Screening

Universal pulse oximetry screening at 24–36 hours of life detects critical CHD before clinical deterioration. Performed on right hand (pre-ductal) and either foot (post-ductal).

🔴

FAIL criteria — refer for urgent echocardiography:

SpO₂ <95% in right hand OR foot on any of 3 measurements

Difference >3% between right hand and foot

Differential Cyanosis Interpretation
Right hand > foot SpO₂Pre-ductal higher — coarctation / interrupted arch
Foot > right hand SpO₂Reverse differential — TGA with PDA/coarctation
🌎

GCC Context: Higher CHD rates in GCC due to consanguinity and autosomal recessive syndromes. Saudi Arabia and UAE have established premarital genetic counselling programmes to identify at-risk couples. Nurses play a key role in family education post-diagnosis.

🧰

Neonatal Cyanosis Assessment Tool

Enter Assessment Parameters

    VSD — Ventricular Septal Defect

    Pathophysiology & Presentation

    Left-to-right shunt at ventricular level. Volume overload of left ventricle and pulmonary circulation. Small VSDs may close spontaneously by age 2. Large VSDs cause pulmonary hypertension, heart failure, failure to thrive.

    Pansystolic murmur (LLSB) Sweating with feeds Tachycardia, tachypnoea
    Nursing Management
    • High-calorie feeds or NG tube — increased caloric demands
    • Monitor weight gain (target 20–30g/day in infants)
    • Diuretics (furosemide) and ACE inhibitors for cardiac failure
    • Small VSDs: observe — spontaneous closure common
    • Large VSDs: surgical patch closure or transcatheter device (cath lab)
    • Post-procedure: monitor for residual shunt, arrhythmia, AV block

    ASD — Atrial Septal Defect

    Features

    Usually asymptomatic in childhood. Right heart volume overload. May present in adulthood with atrial fibrillation, pulmonary hypertension, stroke (paradoxical embolism). Fixed wide splitting of S2 is classic.

    Often silent in children Fixed split S2 Systolic flow murmur (LUSB)
    Closure & Post-Procedure Nursing
    • Secundum ASD: transcatheter device closure in cath lab (Amplatzer device)
    • Primum ASD / sinus venosus: surgical repair required
    • Post-device closure: monitor access site (femoral vein) — haemostasis
    • Antiplatelet therapy: aspirin 75–100mg for 6 months post-device
    • Endocarditis prophylaxis: 6 months post-device closure
    • Educate: avoid MRI with non-MRI-compatible devices (first 6 weeks)
    💋

    PDA — Patent Ductus Arteriosus

    Preterm Neonate

    Medical closure: Indomethacin (COX inhibitor) or ibuprofen IV — inhibits prostaglandin synthesis. Monitor renal function, platelet count, urine output during treatment.

    Surgical ligation if medical management fails (VATS or open thoracotomy).

    Term Neonate / Child

    Symptomatic management initially. Transcatheter coil/device closure in cath lab when haemodynamically significant. Continuous machinery murmur (under left clavicle). Bounding pulses, wide pulse pressure.

    📌

    CRITICAL — PDA-dependent circulation: In duct-dependent lesions (pulmonary atresia, critical AS, interrupted aortic arch, critical coarctation), the PDA must remain open. Start Prostaglandin E1 (alprostadil) immediately. Monitor for PGE1 side effects: apnoea (have airway equipment ready), fever, hypotension, cortical hyperostosis with prolonged use.

    📉

    Coarctation of the Aorta

    Clinical Recognition
    • Hypertension in upper limbs, reduced/absent femoral pulses
    • Radio-femoral delay (feel simultaneously)
    • Differential cyanosis: lower limbs cyanosed, upper pink (if duct open)
    • Rib notching on CXR (older children — collateral vessels)
    • Neonatal presentation: collapse when ductus closes
    Treatment & Post-Op Nursing
    • Neonates: PGE1 to reopen duct, then surgical repair
    • Older children: balloon dilation ± stent insertion in cath lab
    • Surgical options: end-to-end anastomosis, subclavian flap aortoplasty
    • Post-op BP monitoring: both arms AND one leg
    • Paradoxical hypertension post-repair — treat aggressively
    • Paraplegia risk (anterior spinal artery) — neurological observations

    Tetralogy of Fallot — Including Tet Spells

    The 4 Components (PROVE)
    • Pulmonary stenosis (main component causing cyanosis)
    • Right ventricular hypertrophy
    • Overriding aorta (sits astride VSD)
    • Ventricular septal defect
    Surgical Timeline

    Complete repair at 4–6 months of age (patch VSD + relieve RVOTO). Prior to surgery: propranolol to reduce spells, consider Blalock-Taussig shunt if very symptomatic early.

    Tet Spell (Hypercyanotic Episode) Management
    🔴

    Immediate Actions (in order):

    1. Knee-chest position (or squatting in older child) — increases SVR, decreases R-L shunt
    2. Supplemental oxygen — high-flow via face mask
    3. IV morphine 0.1–0.2 mg/kg — reduces infundibular spasm, calms child
    4. IV fluid bolus 10 ml/kg — increases preload, improves pulmonary flow
    5. IV propranolol 0.01–0.1 mg/kg — beta-blockade relaxes infundibulum
    6. Sodium bicarbonate if severe metabolic acidosis — improves myocardial function
    7. Escalate to consultant — consider emergency surgical repair or shunt

    Transposition of Great Arteries (TGA) — Neonatal Emergency

    Pathophysiology

    Aorta arises from RV; pulmonary artery from LV. Two parallel circulations — only mixing occurs at ASD/VSD/PDA. Profoundly cyanotic from birth. Blood is well-oxygenated in lungs but cannot reach systemic circulation.

    SpO₂ 30–50% at birth No murmur initially Egg-on-string CXR
    Emergency Management Sequence
    1. Prostaglandin E1 immediately — keeps PDA open, allows some mixing
    2. Balloon atrial septostomy (Rashkind procedure) — creates/enlarges ASD at cardiac catheterisation for better mixing
    3. Arterial switch operation (Jatene) — within first 2 weeks of life (before LV loses conditioning to systemic pressures)
    4. Nurse in NICU/PICU — continuous monitoring, intubation readiness

    PICU nursing post-cardiac surgery requires specialist training. All values listed are general guidance only — refer to local cardiac PICU protocols, cardiac surgeon, and paediatric cardiologist instructions for individual patient management.

    📈

    Cardiac PICU Monitoring Parameters

    Haemodynamic
    Arterial BPContinuous intra-arterial (radial/femoral)
    CVPCentral venous pressure — filling status
    LA lineLeft atrial pressure in complex repairs
    SpO₂Continuous pulse oximetry
    Cerebral & Renal
    NIRSNear-infrared spectroscopy — cerebral & renal oximetry
    Urine OutputTarget 1–2 ml/kg/hr
    TemperatureCore and peripheral (toe-core gap)
    LactateTrend — rising = inadequate perfusion
    Rhythm & Respiratory
    ECGContinuous — AV block, arrhythmia
    VentilatorMode, rate, FiO₂, PEEP per ventilator orders
    EtCO₂End-tidal CO₂ if ventilated
    Chest X-rayDaily — position lines, lung fields, effusions

    Vasoactive Infusions

    DopamineInotrope/pressor — low dose renal, high dose vasopressor
    MilrinonePDE-3 inhibitor — inotropy + vasodilation; reduce afterload
    NoradrenalineVasopressor — systemic vascular resistance
    AdrenalineHigh-dose inotropy — severe LCOS
    VasopressinVasopressor — refractory vasodilatory shock
    📌

    Infusion safety: Use concentration-standardised infusions per cardiac PICU protocol. Double-check with second nurse. Never stop vasoactives abruptly. Label all infusions clearly. Check infusion pump settings hourly.

    💧

    Chest Drain Assessment

    Normal drainage<3 ml/kg/hr — reassess trend
    Active bleeding>3 ml/kg/hr — senior review urgently
    ChylothoraxMilky white fluid — MCT diet or NPO+TPN
    Air leakContinuous bubbling in water seal — check connections
    Drain Patency Nursing
    • Gentle milking only if instructed — risk of mediastinal shift
    • Keep drainage system below chest at all times
    • Document volume, colour, consistency hourly in PICU
    • Drain removal: when <1 ml/kg/hr for 4–6h and no air leak

    Low Cardiac Output Syndrome (LCOS)

    🔴

    Most feared post-operative complication. Peak incidence 6–18 hours post-bypass. Cardiac output insufficient to meet metabolic demands. ESCALATE IMMEDIATELY to senior.

    Clinical Features
    • Tachycardia (compensatory)
    • Poor peripheral perfusion — cool, mottled, prolonged CRT
    • Metabolic acidosis — rising lactate
    • Oliguria — urine output <0.5 ml/kg/hr
    • Hypotension (late sign)
    • Increasing ventilator requirements
    • Agitation or decreased consciousness
    Nursing Interventions
    1. Escalate to cardiac surgeon and cardiologist immediately
    2. 12-lead ECG — exclude arrhythmia or tamponade
    3. Optimise preload — cautious IV fluid bolus per instruction
    4. Increase inotrope support as prescribed
    5. Correct metabolic acidosis, hypocalcaemia, hypoglycaemia
    6. Bedside echo — exclude tamponade, residual lesion
    7. Prepare for ECMO or return to theatre if refractory

    Epicardial Pacemaker Wires

    Temporary epicardial pacing wires are routinely placed during cardiac surgery for management of post-operative arrhythmias and heart block. Usually 2 ventricular + 2 atrial + 1 ground wire.

    • Keep wire ends insulated when not in use — electrocution risk
    • Handle with dry gloves — no wet handling
    • Label clearly: ventricular (V), atrial (A), ground (G)
    • Pacing threshold testing per cardiologist instruction
    • Removal: usually day 3–5 post-op — risk of pericardial tamponade during removal; have resuscitation equipment available
    • Document capture threshold and sensing threshold
    🍴

    Nutrition Post-Cardiac Surgery

    Early Enteral Nutrition

    Target: commence enteral feeds within 24–48 hours post-cardiac surgery when haemodynamically stable. Early nutrition reduces catabolism, infection risk, and improves wound healing.

    Pain Management
    • Multimodal approach: paracetamol regularly + PRN opioids
    • Morphine or fentanyl infusions in PICU phase
    • Regional nerve blocks (e.g. serratus anterior block, intrathecal morphine)
    • Transition to oral analgesia on ward — assess pain score (FLACC in infants)
    • Non-pharmacological: positioning, pacifier, swaddling in neonates

    Understanding Fontan Physiology

    What is Fontan Circulation?

    Fontan palliation is used for univentricular hearts (e.g. tricuspid atresia, hypoplastic left heart syndrome, double inlet LV). A Total Cavopulmonary Connection (TCPC) routes all systemic venous return directly to the pulmonary arteries — passive pulmonary blood flow driven by venous pressure alone, with no subpulmonary ventricle.

    Fontan is NOT a cure — it is palliation. The single ventricle is volume-unloaded but chronically elevated systemic venous pressure leads to multi-organ complications.

    Fontan Stages
    Stage 1: Norwood / BT ShuntNeonatal — secure systemic and pulmonary flow
    Stage 2: Glenn4–6 months — SVC to pulmonary artery (bidirectional Glenn)
    Stage 3: Fontan (TCPC)2–4 years — IVC to pulmonary artery (total)
    SpO₂ Target in Fontan
    📌

    Normal for Fontan patients: SpO₂ 75–85%. Do NOT target 95%+ — this is not physiologically achievable and inappropriate oxygen supplementation is unhelpful. Alarm limits must be set accordingly.

    Fontan-Associated Complications

    Fontan-Associated Liver Disease (FALD)

    Chronic elevated systemic venous pressure causes hepatic venous congestion → progressive liver fibrosis. Present in virtually all Fontan patients after years. LFT monitoring at every annual review. Liver USS ± elastography for surveillance. Liver biopsy if cirrhosis suspected. Hepatocellular carcinoma risk — AFP screening.

    Protein-Losing Enteropathy (PLE)

    Protein loss through gut mucosa secondary to elevated venous pressure. Features: low albumin (<25 g/L), peripheral oedema, ascites, diarrhoea, malnutrition. Poor prognosis — 50% 5-year mortality. Treatment: high-protein diet, albumin infusions, diuretics, consider cardiac catheterisation to optimise Fontan pressures, cardiac transplant in severe cases.

    Plastic Bronchitis

    Thick rubbery bronchial casts form in airways — can cause acute airway obstruction and respiratory arrest. Rare but life-threatening. Treatment: chest physiotherapy, bronchoscopic cast removal, inhaled heparin, tissue plasminogen activator (tPA), dietary modifications (medium-chain triglycerides). May require cardiac transplant.

    Thromboembolic Complications

    Low-flow Fontan circuit predisposes to intracardiac thrombus and pulmonary emboli. All Fontan patients on anticoagulation (warfarin INR 2–2.5) or aspirin. Avoid dehydration — increases thrombus risk significantly. Atrial flutter/fibrillation greatly increases clot risk — urgent cardioversion.

    💊

    Fontan Patient — Hospital Nursing "Avoid" List

    🔴

    The Fontan circulation is entirely passive — any reduction in venous return or increase in pulmonary vascular resistance will critically impair cardiac output.

    AVOID HypotensionReduces Fontan driving pressure — cardiac output collapses
    AVOID DehydrationDecreases preload — critical in Fontan
    AVOID HypoventilationHypercapnia increases PVR — impairs pulmonary flow
    AVOID High PEEPIncreases intrathoracic pressure — impairs Fontan flow
    AVOID SedationReduces respiratory effort — worsens passive pulmonary flow
    AVOID NSAIDsRisk of renal impairment and fluid retention
    Long-term Medications
    Warfarin (INR 2–2.5) Aspirin 75–100mg ACE inhibitor Diuretics (furosemide ± spironolactone)
    🔍

    Long-term Fontan Surveillance

    Cardiac
    • Echocardiogram annually
    • Cardiac MRI every 3–5 years — ventricular function, anatomy
    • Cardiac catheterisation — Fontan pressures, PVR
    • Holter monitor — arrhythmia surveillance
    • Exercise testing (CPET) — functional capacity
    Hepatic
    • LFTs, albumin, coagulation profile annually
    • Liver ultrasound ± elastography
    • AFP (hepatocellular carcinoma marker) from age 10–12 years
    • Hepatology co-management when FALD established
    • Liver biopsy if liver disease progression suspected
    Neurodevelopmental & Activity
    • Neuropsychological testing — cognitive function
    • Avoid competitive sport, high altitude, scuba diving
    • Supervised exercise encouraged (moderate, not intense)
    • VTE risk — avoid prolonged immobility, dehydration on flights
    • Contraception counselling in adolescents (pregnancy high risk)

    CHD and Quality of Life

    Physical Impacts
    • Exercise intolerance — reduced cardiac reserve
    • Fatigue — chronic low cardiac output
    • Growth restriction — poor nutrition, increased metabolic demand
    • Chronic pain — multiple surgical scars, procedural history
    • Activity restrictions impacting participation
    Neurodevelopmental Outcomes

    Higher risk in: HLHS, TGA, TAPVR (hypoxia/bypass injury). Risk factors: cardiopulmonary bypass time, deep hypothermic circulatory arrest, genetic syndromes (Down, DiGeorge, Turner).

    Cognitive delays Language delays Motor delays ADHD risk Autism risk

    Early intervention referral — physiotherapy, speech therapy, occupational therapy, educational psychology. Do not wait for diagnosis — refer at risk.

    Psychological Impacts
    • Anxiety and depression in children and adolescents
    • Post-traumatic stress — PICU/procedural trauma
    • Parental anxiety and grief affecting child
    • Social isolation — school absences, activity restrictions
    • Identity and self-image concerns in adolescence

    Refer to paediatric psychology early. Whole-family psychological support integral to care.

    💕

    Family Support & Genetic Counselling

    Breaking the CHD Diagnosis

    CHD diagnosed prenatally or at birth is an acute family crisis. Parents experience grief, guilt, and acute anxiety. Nurse's role: clear, compassionate communication; avoid jargon; allow time for questions; involve cardiac liaison nurse.

    Genetic Counselling & Recurrence Risk
    • Isolated CHD (no syndrome): ~3–5% recurrence risk in siblings
    • DiGeorge (22q11): autosomal dominant — 50% transmission risk
    • Down syndrome (Trisomy 21): 40–50% have CHD (AVSD most common)
    • Turner syndrome: coarctation, bicuspid aortic valve
    • Noonan syndrome: pulmonary stenosis, HCM
    🌎

    GCC context: Consanguineous marriages increase risk of autosomal recessive syndromes with CHD. Premarital counselling programmes in Saudi Arabia, UAE, Qatar actively screen for carrier status. Genetic counsellor referral is standard of care in GCC tertiary cardiac centres.

    🌟

    GCC Family-Centred Care

    Extended Family in Decision-Making

    In GCC cultures, medical decisions frequently involve extended family networks — grandparents, paternal relatives — not only the parents. Nurses must be culturally sensitive to this dynamic while ensuring consent is appropriately documented.

    Mother's Central Role

    In GCC paediatric nursing, the mother is the primary caregiver and point of contact. Discharge education, feeding instructions, medication training, and home monitoring must be comprehensively provided to and confirmed understood by the mother.

    Language & Health Literacy

    Provide written discharge instructions in Arabic. Use interpretation services — do not rely on family members to interpret complex medical information. Use diagrams and visual aids for cardiac anatomy explanation.

    🙏

    End-of-Life Care in CHD

    Inoperable / Palliative CHD

    Some CHD diagnoses carry extremely poor prognosis despite surgery: Trisomy 18, Trisomy 13 (surgical outcomes do not improve survival meaningfully), severe HLHS with additional anomalies, end-stage Fontan failure.

    Palliative Pathway Principles
    • Early palliative care integration — not after all options exhausted
    • Goals of care discussion with family — comfort vs surgical pursuit
    • Symptom management: pain, dyspnoea, anxiety
    • Place of death discussion: home, hospice, hospital
    • Sibling and extended family support
    • Bereavement support: follow-up call, bereavement team referral
    • Memory-making opportunities where appropriate
    🎓

    Transition to Adult CHD (ACHD)

    Why Transition Matters

    Over 90% of children with CHD now survive to adulthood. The transition from paediatric to adult cardiology services is a high-risk period for loss to follow-up, non-adherence, and adverse events.

    Transition Process
    Age16–18 years (planned, gradual)
    ACHD CardiologistSpecialist in adult congenital heart disease
    Self-managementEducation on own diagnosis, medications, warning signs
    ContraceptionPregnancy risk counselling — Fontan/complex CHD
    School letterPE activity guidance, emergency action plan, medical alert
    📚

    Transition clinic: Joint paediatric/adult appointments to introduce the ACHD team. Young person should be seen alone (without parents) for part of the consultation to foster independence.

    📋

    Acyanotic vs Cyanotic CHD — Exam Table

    Feature Acyanotic CHD Cyanotic CHD
    Shunt directionLeft → RightRight → Left
    Cyanosis at restAbsent (unless Eisenmenger)Present (central)
    Pulmonary blood flowIncreased (overcirculation)Decreased (most) or mixed
    Main examplesVSD, ASD, PDA, coarctationToF, TGA, tricuspid atresia, TAPVR
    Commonest overallVSD (most common CHD)Tetralogy of Fallot
    Key nursing alertCardiac failure, feeding difficultyHypoxic spells, PGE1 dependency
    SpO₂ targetNormal 95–100%Disease-specific (Fontan: 75–85%)

    Tet Spell Management — Classic Exam Protocol

    🔴

    High-yield exam question: What is the first-line management of a hypercyanotic spell in Tetralogy of Fallot?
    Answer: Knee-chest position (or squatting) — increases systemic vascular resistance → decreases right-to-left shunt → increases pulmonary blood flow.

    StepInterventionMechanism / Dose
    1Knee-chest / squat positionIncreases SVR → reduces R-L shunt → more blood to lungs
    2High-flow O₂Reduces hypoxic pulmonary vasoconstriction
    3IV/IM Morphine0.1–0.2 mg/kg — reduces infundibular spasm, calms child
    4IV Fluid bolus10 ml/kg — increases preload and pulmonary blood flow
    5IV Propranolol0.01–0.1 mg/kg — beta-blockade relaxes infundibulum
    6Sodium bicarbonateIf severe acidosis — improves myocardial function
    7Escalate / phenylephrineAlpha agonist — increases SVR; emergency repair if refractory
    💋

    PDA Management — Preterm vs Term

    ContextManagement
    Preterm (<37 weeks)Medical: indomethacin or ibuprofen IV (COX inhibitors). Monitor renal, GI, platelet. Surgical ligation if medical fails.
    Term infant — asymptomaticObserve — many close spontaneously. Transcatheter closure if no closure by 1 year.
    Term — symptomatic (CCF)Diuretics for cardiac failure. Transcatheter coil/device closure electively. Surgical ligation rarely needed in modern era.
    Duct-dependent lesionKEEP OPEN with PGE1 (alprostadil). Do NOT close — child will die. Urgent surgical intervention required.
    🔎

    Neonatal O₂ Screening Thresholds — Exam

    Screening timing24–36 hours of life (not immediately after birth)
    PASSSpO₂ ≥95% right hand AND foot, difference ≤3%
    FAIL (single measure)Repeat in 1 hour ×2 — 3 fails = REFER
    FAIL (SpO₂ <90%)Immediate referral — no repeat
    Differential >3%Right hand vs foot — refer for echo
    Differential Cyanosis Patterns
    Right hand higherCoarctation / interrupted aortic arch
    Foot higherTGA with PDA / pulmonary HT
    🎓

    GCC Licensing Board — High-Yield CHD Questions

    Practice questions aligned with DHA, DOH (Abu Dhabi), SCFHS, QCHP, and MOH Kuwait licensing examination formats.

    Q1. A 3-week-old infant is brought to ED with severe central cyanosis and SpO₂ of 45%. Echo shows transposition of great arteries. What is the FIRST pharmacological intervention?
    Q2. A 9-month-old known Tetralogy of Fallot child becomes acutely more cyanosed and agitated. The FIRST nursing action is:
    Q3. A 3-year-old Fontan patient is admitted for elective tonsillectomy. Their resting SpO₂ is 80%. What is the appropriate nursing response?
    Q4. Neonatal pulse oximetry screening reveals SpO₂ 93% right hand, 96% right foot. What does this pattern suggest?
    Q5. Post-cardiac surgery PICU nurse notes urine output 0.3 ml/kg/hr, heart rate 175 bpm, mottled skin, and rising lactate. This presentation is most consistent with:

    Quick Reference — Key Numbers for Exams

    CHD Incidence
    Live births (global)~8 per 1,000
    Most common CHDVSD (~30% of all CHD)
    Most common cyanoticTetralogy of Fallot
    GCC — incidenceHigher due to consanguinity
    Screening Thresholds
    Fail SpO₂<95% (right hand or foot)
    Fail difference>3% (hand vs foot)
    Screening time24–36 hours of life
    Fontan SpO₂ target75–85%
    PICU Targets
    Urine output (PICU)1–2 ml/kg/hr
    Chest drain alert>3 ml/kg/hr
    Fontan INR target2.0–2.5
    TGA surgery windowWithin first 2 weeks