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28 Cards in this Set
- Front
- Back
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What's the most common bacteria to cause IE (Infective endocarditis)?
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Streptococcus viridans
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What is the usually transient presence of bacteria in the blood?
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bacteremia
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diesase caused by microbial infection of the heart valves or endocardium, in proximity to congenital or acquired defects
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Infective endocarditis
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How are the symptoms of IE?
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Flu-like: weakness, weight loss, fatigue, fever, chills, etc
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Class of IE that's slower onset, caused by S. viridans
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SBE, subacute bacterial endocarditis
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Class of IE that's normal onset and can also be caused (in addition to bacteria) by fungi (Candida albicans) and ghonorrhea
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BE, bacterial endocarditis (This question doesn't make much sense I know but it's there)
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Class of IE that's sudden onset, fatal in less than 6 weeks and caused by Staphylococcus aureus, and involves NORMAL valves
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Acute bacterial endocarditis
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micrfobial infecction of the endothelium of arteries
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IEA infective endarteritis
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infection of prosthetic hart valves
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PVE Pros valve endo...
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Our antibiotic prophylaxis is designed against:
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alpha hemolytic streptococcus
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current regimen: what is the most common drug and how much
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amoxicillin 2g 1h prior to treatment
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For high risk patients, what is the second dose?
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1/2 the first dose 6 hours later
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best substitute used for penicillin allergy
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clindamycin 600mg 1 hr prior to procedure
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what's the problem with cephalexin?
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25% of those allergic to penicillin will also be allergic to cephalexin
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what's the drawback of azithromycin and clarithromycin? How much is their dosage?
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It's expensive. Given in 500mg 1 hr prior to procedure
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Is AP recommend for: Acquired valvular dysfunction (Fen-phen, RHD, drug use, etc.)
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yes
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is AP recommended for: MVP (mitral valve prolapse)
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yes
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is AP recommended for: hypertrophic cardiomyopathy
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yes
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is AP recommended for: pervious coronary artery bypass graft surgery(CABG)
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no
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is AP recommended for: cardiac pacemakers?
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no
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is AP recommend for: implanted defribrillators
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no
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is AP recommend for: Arteriovenous shunt (for patients undergoing hemodialysis)
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yes
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is AP recommend for: ventriculoatrial shunt (for patients w/hydrocephaly)
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no
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is AP recommend for: marfan syndrome (the caved in chest)
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yes because of heart lesions
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is AP recommend for: Down's Syndrome
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yes
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is AP recommend for: Fen-phen, pondimin, redux
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yes
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If unable to take oral meds, what's the IV drug and dosage?
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apmicillin, 2g IM or IV
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If allergic to penicillin and unable to take oral meds, how much cefazolin is given IV
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1g
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