Inflammatory Heart Flashcards
What are the causes for endocarditis
prosthetic valves (number one) dialysis IV devices IV drug abuse rheumatic heart dis Cardiac lesions like MI's
What is a risk with the vegetations with endocarditis
they can break off and clot
If we have endocarditis on R valve where will we look for clots where
lungs
If we have endocarditis on L valve where will we look for clots where
heart muscle
stroke
other systemic areas
Where are you more likely to get endocarditis with IV drug abuse
R side
What are some manifestations from endocarditis
Murmurs
petechiae
Splinter hemorrhages – black streaks in nail beds
Chills, weakness, malaise, fatigue, anorexia
arthralgias, myalgias, back pain, abdominal discomfort, weight loss, headache, clubbing
What do we do for people with a history of endocarditis before they receive care
they receive IV antibiotics days before
What is the most important interventions for endocarditis during exacerbations
blood culture every 30 minutes for 3 times
What should we teach endocarditis patients when they are discharged
antibiotics at least 4-6 wks
make sure they are able to get to hospital fast
teach S/S and immediately respond if present
What type of HF are we at risk for with pericarditis
diastolic HF
When is pericarditis most common
after an MI, TB or bact infection
What are complication of pericarditis
Pericardial effusion
cardiac tamponade
What is a sign of pericardial effusion
muffled heart sounds with normal BP
difference of BP between inspiration and expiration
What can untreated pericardial effusion from pericarditis lead to
cardiac tamponade
What are the s/s of cardiac tamponade
JVD
pulsus paradoxus
