Week 9-Rheumatic Fever

Question 1

Rheumatic fever

Answer 1

Autoimmune reaction that affects joints, skin, brain, heart. Only important bc it impacts heart (valve damage)

Question 2

Patho

Answer 2

Usually triggered by group A beta hemolytic streptococci infection. Evidenced by elevated antibody titers. Causes inflammation.

Question 3

Jones criteria

Answer 3

States diagnosis requires 2 major manifestations or 1 major and 2 minor

Question 4

Major manifestations

Answer 4

Carditis-valve issues, murmurs, cardiofriction rub, enlargement of the heart
Polyartritis-inflammation in major joints. 1 joint affected then another. Painful swellin.
Chorea
Erothema marjanatum-non itchy rash on arms and legs

Question 5

Minor manifestations

Answer 5

Fever, arthralgia(joint pain), RF history
Labs-
Prolonged PR interval

Question 6

Nursing interventions

Answer 6

Reduce cardiac demands
Oxygen therapy
Fluids and electrolytes
Penicillin for infection
Lifetime penicillin, etc

Question 7

Key risk factor

Answer 7

Untreated or partially treated beta hemolytic streptococcus infection (strep throat)

Question 8

Key symptom RF

Answer 8

Major symptom
Chorea-involuntary muscle movent

Question 9

What part of ekg is indicator of rheumatic fever

Answer 9

Prolonged PR response

Question 10

Labs

Answer 10

If had strep throat there will be positive GABHS test.

Postive antistreptolisin titers. GABHS will be positive.

C reactive protein elevated due to inflammation.