Transposition of the Great Arteries (Vessels) | Congenital Heart Defects Nursing NCLEX Pediatrics

Transposition of the great arteries (vessels) nursing NCLEX congenital heart disease defect review of the pathophysiology, nursing interventions, and treatment (TGA, TGV).

What is transposition of the great arteries (vessels)? It’s a congenital heart defect where the pulmonary artery and aorta are in SWITCHED positions. Therefore, the aorta is coming out of the right side of the heart, which is causing the right side of the heart to participant in systemic circulation. The pulmonary artery is coming out of the left side of the heart, and this is causing the left side of the heart to participant in pulmonary circulation.

Due to this switching of the great arteries, the two sides of the heart no longer work together. This causes the body to experience severe cyanosis (a bluish color to the skin from low oxygen levels).

It’s a critical congenital heart defect that requires immediate medical intervention after birth and surgery within the first month of life. According to CDC.gov, 1 on 3,330 babies are born with this condition each year in the United States.

Nursing interventions for transposition of the great arteries include: monitoring heart rate/rhythm, oxygen saturation, assess for signs of TGA, administering prostaglandin E to maintain a patent ductus arteriosus and prepare for medical intervention.

Procedures or surgery for transposition of the great arteries include balloon atrial septostomy and arterial switch procedure.

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