Problem: Congenital Heart Defects How should we promote weight gain in kiddos with congenital heart defects? What is important to promote at home, prior to surgical repair of a cardiac defect? What is the first sign of heart failure? What would nursing care include for a child with heart failure? What is Digoxin and what is it used for? Medication that helps the heart beat stronger with more regular rhythm. o How do you know the Digoxin dose is effective? What electrolytes might be impacted? Need Assignment Help?