Caring for patients with lesions decreasing pulmonary blood flow

Congenital heart defects with decreased pulmonary blood flow are generally complex lesions. Nursing care of these patients requires a comprehensive understanding of the hemodynamic effects, clinical manifestations, and the medical and surgical management of cyanotic heart disease. This in-depth understanding will enable the nurse to appropriately assess the infant's or child's cardiovascular functioning during the acute phase of illness, after surgery, and during convalescent periods. Close collaboration among the entire cardiovascular team is essential to promote high-quality care for these truly complex patients.