SlideShare a Scribd company logo
www.hi-dentfinishingschool.blogspot.com
Case Study ,[object Object],[object Object],[object Object]
What is going on? ,[object Object],[object Object],[object Object],[object Object]
Endocarditis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Staphylococcus aureus Bacteremia ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
Right versus Left sided  Infective Endocarditis ,[object Object],[object Object],[object Object],[object Object]
Risk Factors for Endocarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pacemakers and Endocarditis ,[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations  in relation to J.F. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osler’s Nodes and Janeway’s Lesions http://www.childrenshospital.org/cfapps/mml/viewBLOB.cfm?MEDIA_ID=1887
http://gsbs.utmb.edu/microbook/images/fig94_3.JPG
What do  J.F.’s lab values mean? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Diagnoses  ,[object Object],[object Object]
Decreased cardiac output  related   to  valvular insufficiency  as evidenced by  heart murmurs, peripheral edema, and tachycardia. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk for imbalanced nutrition  related to  nausea and vomiting, use of TPN, and prior history of malnutrition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment for IE ,[object Object],[object Object],[object Object]
Prevention of Infective Endocarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PREVENTION OF BACTERIAL ENDOCARDITIS Wallet Card This wallet card is to be given to patients (or parents) by their physician. Healthcare professionals: Please see back of card for reference to the complete statement. Name:__________________________________________________________________________ Needs protection from  BACTERIAL ENDOCARDITIS  because of an existing heart condition. Diagnosis:_______________________________________________________________________ Prescribed by:____________________________________________________________________ Date:___________________________________________________________________________
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Endocarditis

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  • 12. Osler’s Nodes and Janeway’s Lesions http://www.childrenshospital.org/cfapps/mml/viewBLOB.cfm?MEDIA_ID=1887
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  • 21. PREVENTION OF BACTERIAL ENDOCARDITIS Wallet Card This wallet card is to be given to patients (or parents) by their physician. Healthcare professionals: Please see back of card for reference to the complete statement. Name:__________________________________________________________________________ Needs protection from BACTERIAL ENDOCARDITIS because of an existing heart condition. Diagnosis:_______________________________________________________________________ Prescribed by:____________________________________________________________________ Date:___________________________________________________________________________
  • 22.

Editor's Notes

  1. Discuss how heart is tachy due to trying to compensate for decrease cardiac out put and aortic insufficiency Embolization – left sided IE embolization abd. Tenderness = possible splenomegaly hematuria = kidney joint pain = joint petechia = limbs
  2. Subacute - pt. has preexisiting valve disease, has a clincal cause that may extend over months Acute – pt. with healthy valves and presents as a rapidly progressive illness
  3. Explain Vegetation Explain Left side vs. right side vegetation
  4. Mention #4 in case study – diagnostic criteria for IE = anemia, fever, and cardiac murmurs and explain cause murmur = valve insufficiency, aortic stenosis fever = infection spreading systematically from heart anemia = of chronic disease – inflammatory process release cytokines that causes inc. uptake and retention of iron within macrophage that leads to diversion of iron from circulation into storage sites.
  5. Can mention that BUN occurs due to infection