antibiotic therapy, under such conditions, even relatively small amounts of ingested bacteria may then contribute to the development of diarrhea .(19).Hypoventilation related to depressant effects of anesthesia and some medications(e.g. narcotic analgesics, muscle relaxants), weakness, chest incision pain and hyperventilation related to : excessive ventilatory assistance, and improving breathing pattern by the chest tube is sutured in place and maintain adequate systemic tissue perfusion .(20). Pediatric corrective heart surgery requires cardiac rehabilitation, long-term follow-up care as well as follow up by a family practitioners, especially with children who have undergone at a very early age, and patients who are diagnosed with congenital heart disease at older age, families have the right and the authority to care for their children, as partners in care, professional staff and family members work together as collaborations in the best interest of the child, within the application of Self-Care Program to be an independent child.(21).

Background and Significance