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13 Cards in this Set
- Front
- Back
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Infective endocarditis |
Is an infection of the endocardial layer of the heart the endocardium the inner most layer of the heart is continuous with the heart valves therefore information from the infective endocarditis affects the cardiac valve |
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Treatment for endocarditis |
Penicillin therapy has improved the prognosis of disease, the disease is classified as subacute or acute |
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Subacute endocarditis vs acute |
Typically affect those with pre-existing valve disease and has a clinical course that may extend over months in contrast the acute form typically affect those with healthy valve and manifest as a rapidly progressive illness, subacute longer before you see symptoms acute quickly rapidly progressive also classified by causes side of your phone it |
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Etiology and pathophysiology of endocarditis |
Okay one blood turbulence within the heart allows causative organism to infect. We damage about the other endothelium surfaces risk factors cardiac, noncardiac, procedural, principal risk factors age, IV drug abuse, prosthetic valve, use of intravascular devices, renal dialysis ( look for reasons why the infection set into the heart) |
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Manifestation of infectious endocarditis nonspecific |
Low grade fever chills weakness malaise |
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Vascular manifestation of infectious endocarditis |
Splinter hemorrhage with her black longitudal strike that occur in the nail bed petechiae may occur as a result of fragmentation and micro embolisation of vegetative lesions are common in the conjunctiva, lips, buccal mucosa, and pilot and over the ankles feet and anticubital and popliteal areas |
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Oscar's nodes |
Painful, tender, red or purple, pea sized lesions may be found on the fingertips or toes |
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Janes ways lesions |
Flat, painless, small, red spots may be found on the palms and soles endoscope examination may reveal hemorrhagic retinal lesions called raw spots |
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IE embolization |
To the spleen, to the kidneys to the brain to the pulmonary embolism |
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Diagnostics of IE |
Health assessment patient should be asked if they have had any recent dental, urology, surgical, gynecology procedures within the past 3 to 6 months to blood cultures drawing 30 minutes apart from two different sites will be positive and more than 90% of patients, if negative culture patient probably on antibiotics previously negative cultures should be kept for 3 weeks in the clinic because of slow growing organisms |
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IE splenic emboli |
Sudden abdominal pain radiating to the left shoulder and the presence of rebound abdominal tenderness on palpation |
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IE ant |
Antibiotic treatment for 4 to 6 weeks, patient teaching needs to monitor body temperature nurse needs to stress the importance of follow-up care good nutrition educate about signs and symptoms of infection educate about need for prophylactic antibiotics |
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Cardiac tamponade |
Accumulation of fluid in the pericardial cavity tampon aid restrict ventricular filling and cardiac output drops treatment is pericardiocentesis |
