PREFERRED PRACTICE PATTERN
An 11-month-old infant is referred from an early intervention program for natural environment (home) physical therapy following a heart transplant 6 months ago for hypoplastic left heart syndrome. He has a gastrostomy tube (G-tube) for all feedings due to unwillingness to take food by mouth. The child requires 1 L of oxygen via a nasal cannula and uses an oxygen saturation monitor at night. He takes the following medications: cyclosporine, captopril, zantac, prednisone, heparin, bactrim, and valcyte valganciclovir. Developmentally, he can prop sit but is not yet rolling, creeping on hands and knees, or transferring in or out of sitting or quadruped.
Actuarial survival for adult and pediatric heart transplant patients performed between January 1982 and June 2004. The half-life is the time at which 50% of those transplanted remain alive, and the conditional half-life is the time at which 50% recipients surviving the first year after transplantation. (Reprinted from Taylor DO, Edwards LB, Aurora P, et al. Registry of the International Society for Heart and Lung Transplantation: twenty-fifth official adult heart transplant report—2008. J Heart Lung Transplant. 2008;27(9):943–956. Copyright 2010, with permission from Elsevier.)
ECG in a heart transplant patient. ECG demonstrating donor and recipient P waves (arrowhead, donor P wave; arrow, recipient P wave). (From Tintinalli JE, Stephan Stapczynski J, John ...