Acquired Heart Disease Flashcards
what are 6 key physical indicators of cardiac dysfunction?
- poor feeding
- diaphoresis
- hepatomegaly
- murmur
- respiratory issues
- increased HR/RR
what are 4 general nursing interventions that we can do for a patient with HF?
- promoting oxygenation
- supporting cardiac function
- providing adequate nutrition
- promote rest
what are 6 manifestations of impaired myocardial function?
- tachycardia
- fatigue/weakness
- restlessness
- pale/ cool extremities
- decreased BP
- decreased urinary output
what are 5 manifestations of pulmonary congestion?
- tachypnea
- dyspnea
- respiratory distress
- exercise intolerance
- cyanosis
what are 5 manifestations of systemic venous congestion?
- peripheral and periorbital edema
- weight gain
- ascites
- hepatomegaly
- neck vein distention
explain rheumatic fever
self-limiting inflammatory disease occurring after an untreated or partially treated group A strep infection (GABHS)
what body systems are effected by rheumatic fever?
joints, skin, brain, serous membranes, and heart
how does rheumatic heart disease occur?
complication of RF; damage to the heart valves as a result of RF
what are the 5 major criteria to diagnose RF?
- carditis
- migratory polyarthritis
- subQ nodules
- erythema marginatum
- sydenham chorea
what are the 3 minor criteria for rheumatic fever?
- polyarthralgia
- elevated ESR or elevated CRP
- prolonged PR interval (unless they have carditis)
how do we treat RHD?
- prevent GABHS
- treat strep tonsillitis/pharyngitis
what do we give for treatment of tonsillitis/pharyngitis?
- penicillin G IM once
- penicillin V PO for 10 days
- sulfa PO for 10 days
- erythromycin PO for 10 days
when do we give erythromycin over penicillin?
when the patient is allergic to penicillin
what are 6 key signs of Kawasaki disease?
- high fever x 5 days; unresponsive to antibiotics
- chills
- headache/ irritability
- distinct rashes
- vomiting/diarrhea/ abdominal pain
- joint pain
describe the rash seen with Kawasaki disease
strawberry tongue, palmar erythema
how do we treat Kawasaki disease?
IV immunoglobulin (IVIG)
aspirin (fever and anticoagulant)
Kawasaki disease requires long-term monitoring of what?
coronary arteries
