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16 Cards in this Set

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  • 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