Home > Flashcards > Print Preview
The flashcards below were created by user
on FreezingBlue Flashcards
. What would you like to do?
A syststemic inflammatory disease that sometimes follows Group A streptococcal infection.
What structures are affected with rheumatic carditis?
layers affected are endocarditis, myocarditis, and pericarditis, also heart valves are, most commonly MITRAL
When WBC's migrate to the endocardium causing inflammatory debris to accumulate around the leaflets which cause fibrous tissue to fuse of thicken and shorten (chordae tendinea)
vegetations (valves loose abilityto open fully or close tightly)
rheumatic fever is a complication of which infections?
who usually gets rheumatic fever?
in children 2 to 3 weeks
Inflammation of the layers of the heart is called?
inflammation of more then one joint is called?
involuntary grimacing and an inability to use skeletal muscles in a coordinated manner is called?
fever for several weeks, heart rate is rapid,or abnormal, erythema marginatum (red spotty rash)polyarthritis, poss nodules, chorea are symptoms of what?
what does a heart murmur suggest?
which diagnostic findings help diagnose rheumatic fever?
no specific lab avail.....instead they can do a antistreptolysin o titrate, sed rate, CRP to check inflammation response. EKG and echo may show cardiac changes/damage.
name 3 meds used to treat rheumatic fever
- 1. PCN drug of choice
- 2. azithromycin-if allergy to pcn
- 3.vancomyocin if allergy to pcn
- there are others so drugs may vary. most important is Penicillin
describe the nursing management for a patient with rheumatic fever
Administer drug therapy, monitor for therapeutic an adverse effects, encourage rest or reduce activities, do cardiac assessment, nutrition considerations
Inflammation of the inner layer of the heart tissue as a result of an infectious microorganism is called?
Name 2 bacteria that most frequently causes bacterial endocarditis
streptococcus viridans and staphylococcus aureus
Who are at risk for getting infective endocarditis?
pts with hx of rheumatic carditis, pts who have nonrheumatic valve disease or artificial heart valves, repaired congential heart defects, a prolapsed mitral valve or cardiomyopathy. IV drug users, immunosuppressed or pt with central lines
How do vegetations adversely affect the heart?
the microorganisms bury themselves in the vegetative mass making them difficult to destroy.
which valve is mostly affected with vegetations?
what would happen if vegetations break off?
causes an emboli that then may occlude small vessels and interfere with an organs blood supply
Name the symptoms of infective endocarditis
fever,chills, muscle aches, joint pain, headache, malaise fatique, sleep disturbances, osler nodes, spinter hemorrhages, SM janeway lesions, Roths spots enlarged spleen, murmur,petechial, weakness
Black longitudinal lines are called?
a non tender sm erythematous or haemorrhagic macular or nodule lesion on palms or soles are?
retinal hemorrhages with white or pale center composed of coagulated fibrin is called?
What are the common diagnostic findings with patients with infective endocarditis?
Anemia/slight leukocytes. blood cultures x 3, TEE can reveal vegatations, EKG's
how to you treat infective endocarditis?
high doses of iv abx for 2-6 wks, bedrest, poss valve replacement
nursing care for infective endocarditis includes
limit activity, assess wt, HR, rythym, note and address any changes. Administer drugs around the clock, educate pt on periodic abx therapy that it is life long
Inflammation of the heart muscle is called?
what causes myocarditis?
- viral, bacterial, fungal, or parasitic infection.
- Viral coxsackie a/b
- influenza a/b
- measles, mumps, adenovirus, rubella, Epstein barr, cytomegalovirus.
- Also those who are bulemic
what are the diagnostic findings for myocarditis?
abnormal electrolyte and thyroid levels, elevated WBC's, CRP,troponin. abnormal EKG,abnormal reading from echo showing structural damage, heart muscle is thickened. Radionuclide studies, bx is done for confirmation
WHat are the symptoms of myocarditis?
sharp stabbing or squeezing chest discomfort that resembles MI, low grade fever, tachycardia, dysrhythmias, dyspnea, anorexia, pale skin or cyanotic, ascites, peripheral edema, crackles in lungs, s3 gallop
treatment for myocarditis include
treating underlying cause, ABx bedrest, low salt diet, cardiotonic drugs, poss heart transplant
a chronic condition characterized by structural changes in the heart muscle is called?
- 3types......dilated cardiomyopathy, hypertonic cardiomyopathy and restrictive cardiomyopathy
3 causes of cardiomyopathy are?
myocarditis, connective tissue disorders and alcoholism
What happens to the heart muscle when the pt has myocardiopathy?
the heart muscle loses its ability to pump efficiently
a type of cardiomyopathy that is accompanied by dyspnea on exertion and when lying down. Person may feel fatigued, legs swollen and pt experience heart palpitations and chest pain
cardiopathy that is least common in the US but common in tropical regions, Africa ,India, south central America, Asia. they get dyspnea, dependent edema, ascites, and hepatomegaly
restrictive cardiomyopathy (restrictive regions)
cardiomyopathy that is associated with syncope and fatigue, sob, cp, ill after exercise many are asystomatic
what heart sound is made for cardiomyopathy?
murmur, also forceful contractions may be palpated over left chest wall
treatment for cardiomyopathy
diuretics, cardiac glycosides, antihypertensives, antidysrrythmias, anticoagualnts, anti inflammatory agents, low NA diet, poss surg.
inflammation of the pericardium
pericarditis is secondary to what?
endocarditis, myocarditis, chest trauma, MI others include TB, malignant tumors, uremia, CT disorders
when pericardial fluid accumulates and causes acute compression of the heart is called?
cadiac tamponade (heart needs a tampon!)
s/s of pericarditis
fever, malaise, dyspnea, chest heaviness, precardial pain, fluid muffle heart sound, hypotension
aspiration of fluid in-between the visceral and parietal layers of the pericardium is called?
an inflammation of a vein accompanied by a clot or thrombus formation is called?
what factors predispose a patient to thrombophlebitis?
venous stasis, altered blood coagulation, trauma, reduced cardiac output, inactivity, compression of the veins
What would you like to do?
Home > Flashcards > Print Preview