Endocarditis Heart-Related Infection of the Term Paper

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Source: http://circ.ahajournals.org/cgi/content-nw/full/111/23/e394/TBLIB

Echocardiographic Features That Suggest Potential Need for Surgical Intervention

Vegetation

Persistent vegetation after systemic embolization

Anterior mitral leaflet vegetation, particularly with size >10 mm* embolic events during first 2 wk of antimicrobial therapy*

Increase in vegetation size despite appropriate antimicrobial http://circ.ahajournals.org/math/dagger.gif

Valvular dysfunction

Acute aortic or mitral insufficiency with signs of ventricular http://circ.ahajournals.org/math/dagger.gif

Heart failure unresponsive to medical http://circ.ahajournals.org/math/dagger.gif

Valve perforation or http://circ.ahajournals.org/math/dagger.gif

Perivalvular extension

Valvular dehiscence, rupture, or http://circ.ahajournals.org/math/dagger.gif

New heart http://circ.ahajournals.org/math/dagger.gif

Large abscess or extension of abscess despite appropriate antimicrobial http://circ.ahajournals.org/math/dagger.gif

See text for more complete discussion of indications for surgery based on vegetation characterizations.

Surgery may be required because of risk of embolization.

Surgery may be required because of heart failure or failure of medical therapy.

Echocardiography should not be the primary modality used to detect or monitor heart block.

Source: http://circ.ahajournals.org/cgi/content-nw/full/111/23/e394/TBLIB

V. Nursing Care

According to the work of Estlow (1998) in the work entitled: Prevention of Infective Endocarditis in the Pediatric Congenital Heart Population. "Nursing's role and responsibility is to convey the appropriate information to patients, families, and the staff who care for children with heart disease." Lynch (1999) states "Nurses can promote innovative teaching methods to further clients' well-being while meeting their educational needs. Teaching packages for educating the pediatric population, which include the child and his or her caregiver(s), need to be understandable, concise, and logical.

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A teaching module that was developed for a pediatric cardiac population requiring antibiotic prophylaxis for bacterial endocarditis is used to highlight some of the issues to consider when formulating an efficient educational tool to inform families about disease prevention."

Conclusion

Endocarditis is a condition that must be constantly and fastidiously monitored in order to remain a noninfective type of endocarditis. This requires that the patient and patient's family members be educated about the preventions and precautionary necessities in the life of the individual with the condition of endocarditis. It is the responsibility of the nursing staff caring for the patient to educate the patient as well as the patient's family members so that they are in-the-know about the precautions that are needed prior to medical and dental procedures......

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