Infective Endocarditis

Question 1

IE definition

Answer 1

Infection of inner layer of heart and valves. Fix with antibiotics

Question 2

Causes of IE

Answer 2

Slide#5
Strep throat
Rheumatic Fever

Question 3

Because of IE infection pt can develop

Answer 3

Slide#6
Pericarditis, swelling og the heart and jugular vein distention

Question 4

IE - Blood flow is infected. Caused more by

Answer 4

Damaged valve
Vegetative
Regurtitative
Stenosis

Question 5

Endocarditis you have

Answer 5

murmurs

Question 6

IE Risk factors slide#19

Answer 6

Cardiac procedures
Non Cardiac procedure - foley, dental, IV
Age
IV drug abuse
Prosthetic valve
Intravascular devices PICC line, IV
Renal dialysis

Question 7

Question to ask pt. with infective endocarditis

Answer 7

Have you had any procedures before?

Question 8

IE High risk patients with

Answer 8

Dental and Prosthetic valve need prophylactic antibiotics

Question 9

Slide#15
Clinical manifestations of strep

Answer 9

Arthralgia and Myalgia
Systemic infection in your heart can affect your whole body.

Question 10

Slide#17
Clinical Manifestations of IE

Answer 10

Splinter in nales
Oslers node
Petechia
Janeway’s lesions
Roth’s spots

Question 11

Slide#21
New or worsening systolic murmur in most patients

Question 12

Sometimes valve becomes vegetative, leads to necrosis which leads to infection

Answer 12

Culture 1st, and then treat with anitbiotics

Question 13

Slide#24
Blood culture @ 2 different sites 1 hr apart

CBC and ECG

Question 14

Slide#25
Prophylactic antibiotic

Answer 14

Look into culture before specific antibiotics

Question 15

Slide#27
Infection what to do

Answer 15

Valve replacement/ rest/ antibiotic