AMS1

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Author:
alyn217
ID:
163117
Filename:
AMS1
Updated:
2012-07-19 13:48:45
Tags:
AMS1T1 Inflammatory Heart Disorders
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Description:
Inflammatory Heart Disorders
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  1. Causes of Infectious Endocarditis
    • Causes:
    • Staph, Strep (bacteria Tx w/antibiotics 4-6wks)
    • Viruses
    • Fungi
    • Rheumatoci disease.
    • Procedure:
    • Dental: dislodges bacteria in mouth--> heart.
    • OB: childbirth
    • GI
    • Valve replacement (if valve is contaminated during sx.)
    • Marfan's Syndrome

    All nfxn-->platelet/fibrin and vegetation aggregation in heart.
  2. Assessment of infectious endocarditis
    • murmer (apart from sound, SnSs resemble HF with valvular disorder).
    • ^BR
    • ^Temp
    • ^WBC
    • anorexia
    • malaise
    • Splinter hemorrhage (looks like splinters in nails, can also be striations)
    • Osler’s nodes (spots noted on hands and feet)
    • Janeway’s lesions (spots noted on hands and feet)
    • Clubbing
  3. Treatment
    • antibiotics (4-6wks)
    • diet
    • pain Rx
    • Sx
    • antipyretic

    w/treatment ~70% of patients recover.
  4. Pericarditis
    • Inflammation of the pericardial sac
    • Causes:
    • Idiopathic (unknown cause)
    • Viruses
    • Bacteria
    • Fungi
    • AMI
    • Cancer
    • Trauma (including Sx)
  5. Assessment of pericarditis
    • Pleuritic chest pain
    • Dyspnea
    • Pericardial friction rub*
    • anxiety
  6. Intervensions for pt w/pericarditis
    • Tx underlying cause
    • Antibx?
    • Corticosteroids?
    • ASA/NSAIDS?
    • Bedrest
    • Pericardiocentesis?
  7. Complications associated with pericarditis
    • *Pericardial effusion
    • --Accumulation of fluid in pericardium
    • --Distant/muffled heart tones
    • Cardiac tamponade
    • --Increased intrapericardial pressure 2o to large pericardial effusion
    • --Confused, agitated & restless
    • --Tachycardia & tachypnea
    • --JVD
    • --Pulsus paradoxus

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