### Ventricular Septal Defect (VSD) – Plan ###

# Ventricular Septal Defect (VSD)
- CR monitor
- Aldactone 1.5 mg BID
- Lasix 3 mg BID
- Vitals q4h w/ BP
- Consult cardiology if clinically declines

# Fluids, Electrolytes, Nutrition, Gastrointestinal (FEN/GI)
- No IVF Indicated at this time - AVOID given cardiac history
- Similac expert care neosure 22 cal/oz
- dietary consulted
- If unable to tolerate feeds will consider continuous NG feeds 
- Strict I/Os
 
# Disposition
- Pending pt is tolerating po, breathing comfortably on RA