Nursing Care of a Child with Double-Chambered Right Ventricle (DCRV) and Perimembranous Ventricular Septal Defect Undergoing Total Surgical Correction: A Case Study
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Abstract
Congenital heart disease (CHD) is a major cause of morbidity in pediatric populations. This case study presents the comprehensive nursing management of a 3-year-7-month-old boy diagnosed with Double-Chambered Right Ventricle (DCRV), perimembranous Ventricular Septal Defect (VSD), and subinfundibular right ventricle obstruction. The patient was admitted for scheduled total correction with VSD closure. Postoperative nursing care focused on hemodynamic stabilization, prevention of low cardiac output syndrome, fluid balance control, nutritional support, infection prevention, and family-centered care. The nursing process framework was applied systematically, including assessment, nursing diagnosis, care planning, intervention, and evaluation. The case highlights the importance of holistic pediatric cardiac nursing to promote recovery and prevent complications.
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