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Hi. Im Cathy with Level Up RN. In this video, we are going to talk about heart failure and hypoxemia, which are two big things that occur when a patient has a congenital heart defect. At the end of the video, Im going to give you guys a little quiz to test your knowledge of some of the key points Ill be covering in this video, so definitely stay tuned for that. And if you have our Level Up RN pediatric nursing flashcards, definitely pull those out so you can follow along with me. Heart failure is the inability of the heart to adequately supply blood to meet the bodys needs. And this may be due to a congenital heart defect. It could be due to cardiomyopathy, which is a disease of the heart muscle, or some other cardiac abnormality. So with heart failure, we end up with volume overload on the heart muscle and/or pump failure. So general signs and symptoms of heart failure can include poor feeding, tachycardia, activity intolerance, pallor, weak pulses, as well as cardiomegaly, so en