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    Endocarditis: Vegetation Around The Valves Sub Acute and Acute Stages

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    mara5140
    The document discusses infective endocarditis, which is a bacterial or fungal infection of the inner lining of the heart chambers and heart valves. It can cause vegetation growth on the valves and lead to their destruction. It occurs when bacteria enter the bloodstream and attach to irregularities in heart valves or damaged endothelial tissue. Symptoms range from none to a rapidly progressing infection. At risk individuals include those with pre-existing heart conditions or who undergo invasive dental or surgical procedures. Diagnosis involves blood cultures, echocardiography and clinical criteria. Nursing care focuses on preventing complications, managing symptoms, providing health education to patients, and addressing risks for issues like embolisms or decreased cardiac output.

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    Endocarditis: Vegetation Around The Valves Sub Acute and Acute Stages

    Uploaded by

    mara5140
    81 views15 pages
    The document discusses infective endocarditis, which is a bacterial or fungal infection of the inner lining of the heart chambers and heart valves. It can cause vegetation growth on the valves and lead to their destruction. It occurs when bacteria enter the bloodstream and attach to irregularities in heart valves or damaged endothelial tissue. Symptoms range from none to a rapidly progressing infection. At risk individuals include those with pre-existing heart conditions or who undergo invasive dental or surgical procedures. Diagnosis involves blood cultures, echocardiography and clinical criteria. Nursing care focuses on preventing complications, managing symptoms, providing health education to patients, and addressing risks for issues like embolisms or decreased cardiac output.

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    nur2744endocarditis[1]

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    The document discusses infective endocarditis, which is a bacterial or fungal infection of the inner lining of the heart chambers and heart valves. It can cause vegetation growth on the valves and lead to their destruction. It occurs when bacteria enter the bloodstream and attach to irregularities in heart valves or damaged endothelial tissue. Symptoms range from none to a rapidly progressing infection. At risk individuals include those with pre-existing heart conditions or who undergo invasive dental or surgical procedures. Diagnosis involves blood cultures, echocardiography and clinical criteria. Nursing care focuses on preventing complications, managing symptoms, providing health education to patients, and addressing risks for issues like embolisms or decreased cardiac output.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    81 views15 pages

    Endocarditis: Vegetation Around The Valves Sub Acute and Acute Stages

    Uploaded by

    mara5140
    The document discusses infective endocarditis, which is a bacterial or fungal infection of the inner lining of the heart chambers and heart valves. It can cause vegetation growth on the valves and lead to their destruction. It occurs when bacteria enter the bloodstream and attach to irregularities in heart valves or damaged endothelial tissue. Symptoms range from none to a rapidly progressing infection. At risk individuals include those with pre-existing heart conditions or who undergo invasive dental or surgical procedures. Diagnosis involves blood cultures, echocardiography and clinical criteria. Nursing care focuses on preventing complications, managing symptoms, providing health education to patients, and addressing risks for issues like embolisms or decreased cardiac output.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 15

    Endocarditis

    Vegetation around the Valves


    Sub Acute and Acute Stages

    R.Jonas, MSN, RN RevisedSpring2008 1


    Anatomy and Physiology
    • Recall the layers of the heart
    • What are the functions of the valves in the
    heart?
    • Why do we care about the valves when
    talking about endocarditis?
    • Review

    R.Jonas, MSN, RN RevisedSpring2008 2


    Infective Endocarditis
    • Defined as bacterial or fungal infection of the
    endocardium that includes the valves-infection
    of the heart chambers or valves

    R.Jonas, MSN, RN RevisedSpring2008 3


    Infectious Cardiovascular Disorders

    • Infectious Cardiac disorders can alter the


    structure and function of the heart
    • The endocardium is contiguous with the
    valves of the heart….
    • Etiology- viruses, bacteria, or inflammation
    • Acute and sub-acute

    R.Jonas, MSN, RN RevisedSpring2008 4


    How does Infective Endocarditis
    Happen?
    • What are some causes?
    – Endothelial lining?
    – Vegetation?

    R.Jonas, MSN, RN RevisedSpring2008 5


    Pathophysiology
    • Turbulent blood flow resulting from
    valvular diseases
    • Invasive procedures
    • Dental Procedures
    • Causes vegetation on the valves

    R.Jonas, MSN, RN RevisedSpring2008 6


    Infective Endocarditis

    The more virulent bacteria causing the acute


    bacterial form of infective endocarditis can lead to
    Infective Endocarditis-caused by serious destruction, as shown here in the aortic
    Staph Aureus; note tan, reddish valve.
    vegetation Irregular reddish tan vegetations overlie valve
    cusps that are being destroyed. Portions of the
    vegetation can break off and become septic
    emboli.
    R.Jonas, MSN, RN RevisedSpring2008 7
    Clinical Manifestations

    Splinter Hemorrhages

    R.Jonas, MSN, RN RevisedSpring2008 8


    • http://www.heartpoint.com/endocarditis.html

    R.Jonas, MSN, RN RevisedSpring2008 9


    Predisposing Factors

    • What kind of clients are at risk for this?

    R.Jonas, MSN, RN RevisedSpring2008 10


    Managing Endocarditis
    • Nursing Care
    – Name some interventions

    • Teach client about what?

    R.Jonas, MSN, RN RevisedSpring2008 11


    Diagnostics for Infective
    Endocarditis
    • Name and explain them…

    R.Jonas, MSN, RN RevisedSpring2008 12


    • Infective Endocarditis

    R.Jonas, MSN, RN RevisedSpring2008 13


    Nursing Diagnoses R/T Endocarditis

    • Risk for decreased c/o r/t mechanical


    changes in heart valves
    • Risk for altered cardiopulmonary, cerebral,
    and peripheral perfusion r/t
    thromboembolus
    • Name another one……

    R.Jonas, MSN, RN RevisedSpring2008 14


    Summarizing
    • What is it?
    • How do you recognize it?
    • What nursing care do you give
    • How do you diagnose it?
    • Nursing Diagnoses
    • Medications?
    • Linked criteria or diagnoses…
    R.Jonas, MSN, RN RevisedSpring2008 15

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