The goal of therapy is to reduce the ventilatory drive, decrease systemic venous return, and increase peripheral venous return. Analgesics - Reduce ventilatory drive. Pain control ensures patient comfort and promotes pulmonary toilet. Most analgesics have sedating properties, which are beneficial for patients who have sustained painful skin lesions. Morphine sulfate administered IV may be dosed in a number of ways and commonly is titrated until the desired effect is obtained.
Peripheral resistance is increased by vasoconstriction.
Increased cardiac output and increased peripheral resistance increase blood pressure. Increases peripheral venous return. Total surgical correction with patch closure of the VSD and relief of the ventricular outflow obstruction is preferred. Uplifted apex and absence of pulmonary artery segment typifies the coeur en sabot boot-shaped heart of tetralogy of Fallot. Medicine is a constantly changing science and not all therapies are clearly established.