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29 Cards in this Set
- Front
- Back
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left side embolization |
brain, limbs, kidney, liver, spleen |
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right sided embolization |
lungsq |
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predisposing to endocarditis |
prior, prosthetic valves, valve disease, birth, pacemaker, cardiomyopathy |
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non cardia predisposing |
nosocomial bacteremia, iv drugs, iv device |
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symptoms of endocarditis |
flu, janeways lesions, splinter hemorrhages, petichia, oslers nodes, new murmer in aortic and mitral valves |
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janeways lesions |
flat painless red spots on toes and fingers |
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splinter hemorrhages |
look like splinters on fingernails |
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oslers nodes |
red nodes on finger joints
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edocarditis blood culture |
2 30 minutes apart |
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diagnostic for endocartits |
rhemotoid factor, c reactive protein, UA, echocardiography, chest exray, ecg |
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treatment of endocarditits |
IV 4-6 weeks, blood culture, serum levels, reduce fever, surgery >25% |
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nursing management of endocarditis |
heart sounds, joint/ muscles tenderness, at risk population |
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educate patient |
avoid person with infection, report flu symptoms, plan rest, oral hygiene, prophylactic antibiotic, |
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acute paracarditis symptoms |
chest pain, lean forward helps, dyspnea, diffuse st elevation, hypotension, pericardial friction rub- high pitch |
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complications of paracarditis 3
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pericardial effusion, tamponade, decreased CO |
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treatment of paracarditis |
antibiotics, corticosteroids, proton pump inhibitor, raise hob 45, |
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MI vs pericardic pain |
posture, sharp, changes |
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mitral valve stenosis |
dyspnea, fatigue, palpation, loud s1, low pitched diastolic murmer |
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aortic stenosis |
angina, syncope, HF, crescendo- decresendo murmur normal s1 and s2 |
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syncope |
pass out |
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invasive treatment of stenosis |
percuteneous transluminal ballon valvoplasty, valve repair |
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3 types of valve repain |
biological, mechanical |
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biological valve repair |
short term anticoagulant, less durable |
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mechanical valve repair |
last long, lifelong anticoagulant |
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inr |
2.5-3.5 |
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common dvt area |
90% small vein- lesser saphenous 10% large vein- femoral popliteal |
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D dimer |
normal <400 abnormal >500 |
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diagnoses of PE |
cardiac enzymes, D-Dimer, oxygen perfusion |
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drugs for artery disease |
ace and asprin, walk |
