Endocarditis / Pericarditis

1 Endocarditis / Pericarditis Med Surg: Cardiac Endocarditis Causes Dirty Needles pathophysiology Dental visits Heart Surgery: Valve replacements In ammation INside the heart & CABG. Infective = bacteria (mold on heart valves). Untreated Strep Throat Noninfective = No bacteria (only in ammation). Heart valves can't close fully Less cardiac output = Less oxygen OUT Treatment Signs & Symptoms Antibiotics Valve repair or Replacement C - Clots in the heart & brain Education Risk for stroke CVA - monitor for agitation change in level of consciousness.

2 NCLEX TIP MONITOR. Splinter hemorrhages (clots under ngernails). L - Lung uid (crackles) ORAL CARE. brush 2x day NO FLOSSING. O - Overheated (fever) LET ALL PROVIDERS KNOW. T - Too little Oxygen (low cardiac output). Clubbing ngers DENTAL VISITS OR SURGERY. *Roth spots, Osler's nodes, Janeway lesions ADHERENCE. (body's immune response). Pericarditis . Signs & Symptoms + Labs Precordial chest pain Elevated WBC (over 10,000). pathophysiology C-reactive protein Cardiac Tamponade In ammation OUTside the heart 1. JVD. (heart gets compressed & can't pump) 2.

3 Mu ed heart sounds Less cardiac OUTput = Less oxygen OUT 3. Pulsus paradoxus (drop in sys. BP by 10 mmHg). Causes Treatment NSAIDS (indomethacin). HEART ATTACK Steroids (prednisone). Acute MI. Pericardiocentesis (needle in the heart). AUTOIMMUNE DISORDERS used to drain any uid or blood in the heart sac. INFECTION. RENAL failure . Uremia (High BUN).