Massive bacteremia or particularly virulent microorganisms (eg, Staphylococcus aureus) cause endocarditis on normal valves. loss IE is uncommon, but people with some heart conditions have a greater risk of developing it. Infective Endocarditis - Heart and Blood Vessel Disorders - Merck Endocarditis usually refers to infection of the endocardium (ie, infective endocarditis). Often, no source of infection or portal of entry is evident. B. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and We may earn a small commission from your purchase. 5. 2,500 review questions are now included on the Evolve companion website. Thank you! It may cause fever, heart murmurs, petechiae, anemia, embolic read more . Predisposing cardiac abnormalities include congenital heart defects, rheumatic valvular disease, bicuspid or calcific aortic valves, mitral valve prolapse, hypertrophic cardiomyopathy, prior endocarditis, and intracardiac devices. Antibiotics should be broad spectrum to cover all likely organisms, typically including sensitive and resistant staphylococci, streptococci, and enterococci. -Valvular Disease->MVP, Aortic regurgitation Occasionally, mural thrombi, ventricular septal defects Ventricular Septal Defect (VSD) A ventricular septal defect (VSD) is an opening in the interventricular septum, causing a shunt between ventricles. Illustrated Study Guide for the NCLEX-RN ExamThe 10th edition of the Illustrated Study Guide for the NCLEX-RN Exam, 10th Edition. All images, articles, text, videos, and other content found on this website are protected by copyright law and are the intellectual property of RegisteredNurseRN.com or their respective owners. 1. Infective endocarditis is a serious condition that requires prompt medical treatment. Tonsillectomy If a person has Strep gallolyticus (bovis) infective endocarditis, what do they need to get? Purulent bacterial pericarditis is uncommon but may follow infective endocarditis Infective Endocarditis Infective endocarditis is infection of the endocardium, usually with bacteria (commonly, streptococci or staphylococci) or fungi. Cutaneous manifestations include petechiae (on the upper trunk, conjunctivae, mucous membranes, and distal extremities), painful erythematous subcutaneous nodules on or near the tips of digits (Osler nodes), nontender hemorrhagic macules or papules on the palms or soles (Janeway lesions), and splinter hemorrhages under the nails. I am currently taking the Hypertension & Coronary Artery Disease NCLEX Practice Exam #3 and one of the rationale boxes for both the incorrect and correct answers does not seem to correlate with the question nor the answer choices. If infection is present but the infecting organism has not been identified, antibiotics for gastrointestinal and genitourinary prophylaxis should be effective against enterococci (eg, amoxicillin or ampicillin, or vancomycin for patients who are allergic to penicillin). Only God almighty will reward you for this good work. -Location History (symptoms usually present acutely): Through history, physical exam, blood cultures, and other selected labs, echocardiography, electrocardiography, and chest xray. A nurse is caring for four clients. A. As the nurse, it is important to know how to care for a patient with endocarditis. -Elevated ESR, CRP a condition in which the normal fetal circulation conduit between the pulmonary artery and the aorta fails to close and results in increased pulmonary blood flow (left-to-right shunt) -murmur (machine hum) -wide pulse pressure -bounding pulses -asymptomatic (possible) -HF obstructive defects Find more information on our content editorial process. 1. See our editorial policies and staff. -Prosthetic vs native valve, -Vanco/ceftriaxone or Vanco/Gent This quiz will test you on the condition known as endocarditis along with the nursing implications for the NCLEX exam. Use these questions to help you review for cardiovascular system disorders and as an alternative to Quizlet.