Ati RN pediatrics 302 proctored exam 2
For the child with transposition of the great vessels, which drug may be given to allow the Patent Ductus Arteriosus (PDA) to remain open until surgery?
Explanation & Rationale
A. Digoxin is used to strengthen cardiac contractions and treat heart failure, but it does not maintain ductal patency. B. Ibuprofen is a prostaglandin inhibitor, and would actually cause closure of the PDA, which is contraindicated in transposition of the great vessels. C. Prostaglandin E (such as alprostadil) is administered to keep the ductus arteriosus open, allowing mixing of oxygenated and deoxygenated blood to improve oxygenation until surgical correction is performed. D. Indomethacin is also a prostaglandin inhibitor used to close a PDA, not keep it open.
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