Tetralogy of Fallot (cont.)
Surgery is the primary way to correct the heart problem. Your child may be prescribed medication for tet spells. You will also be given information for dealing with future tet spells.
- The child will be placed on his or her back in the
knee-to-chest position to increaseaortic resistance. The increased aortic and left ventricular pressure reduces the rush of blood through the septal hole from the right ventricle and improves blood circulation to the
lungs, so more red blood reaches the tissues.
- The child may be given oxygen through a face mask to
increase the amount of oxygen in the blood.
- The child may be given morphine, propranolol (or metoprolol), or, in extreme cases, phenylephrine (Alconefrin, Vicks Sinex). These medications decrease the frequency and severity of tet spells.
Francisco Talavera, PharmD, PhD
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