Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
MCC of Subacute endocarditis
|
Strep Viridans
Strep Bovis Strep Faecalis |
|
|
MCC of Acute endocarditis
|
S. aureus
Strep pneumo Strep pyogenes N. Gonorrhea |
|
|
MCC of endocarditis with IVDU
|
S. aureus
Pseudomonas |
|
|
MCC of Major emboli
|
Haemophilus
Bacteroides Candida |
|
|
How do you treat IE caused by S.aureus
|
Nafcillin or
Cefazolin or Vanco + Genta |
|
|
How do you treat IE caused by S. pneumo
|
PCN G/ampicillin
|
|
|
How do you treat IE caused by S.viridans, Bovis, and Enterococcus
|
PCN G/ampicillin + Genta
|
|
|
How do you treat IE caused by HACEK organisms
|
Ampicillin + Genta or
Ceftriaxone |
|
|
How do you treat IE caused by pseudomonas
|
Can use any antipseudomonal PCN (ie Ticarcillin) + tobra
|
|
|
What is the prophylactic dose for dental, oral, resp tract or esophageal procedures in suseptible patients?
|
Amoxicillin 2 gm 1 hr before
If PCN allergic: Clinda 600mg 1 hr before or cephalexin 2 gm 1 hr before procedure |
|
|
What is the prophylactic dose for open heart surgery in suseptible patients?
|
IV Cefazolin 2 g at induction of anesthesia, repeat 8 and 16 hrs later
or IV Vanco 1 gm at induction and 0.5 g 8 and 16 hrs later |
|
|
which cardiac procedures do not warrant prophylaxis?
|
Catherization
Pace maker placement CABG |
|
|
What are some peripheral manisfestations of infective endocarditis?
|
Petechiae
Splinter hemorrhages Osler's nodes Janeway's lesions Roth's spots |
|
|
What are the most common complaints in patients with IE
|
Fever
Chills Weakness SOB Night sweats Loss of appetite and wt loss |
|
|
How often should blood cultures be taken with IE?
|
Subacute: 3 sets in 24 hrs
Acute: 3 sets over 60-90 minutes |
|
|
What is the test of choice to identify valvular vegetations
|
Transesophageal Echocardiogram
|
