Term
|
Definition
| Localized infection consisting of fibrin, platelets and microorganisms that adhere to cardiac valves or other endothelial surfaces. |
|
|
Term
|
Definition
| What age group would you expect to see someone with infective endocarditis? |
|
|
Term
|
Definition
| A person presents with infective endocarditis that is 29 y/o, what would you expect the epidemiology to be from? |
|
|
Term
|
Definition
| Which valve is most commonly involved in infective endocarditis? |
|
|
Term
|
Definition
| If a pt has mitral regurgitation and a fever, what organism would you suspect? |
|
|
Term
|
Definition
| Which valve is most commonly involved in drug users with infective endocarditis? |
|
|
Term
More at risk!
*along with Rheumatic Fever, Hypertrophic cardiomyopathy, MVP, IVDA, & Immunocompromised pts |
|
Definition
| Is a pt with a prosthetic heart valve more or less at risk for Infective endocarditis? |
|
|
Term
Less at risk
*also pacemakers, syphilitic aortitis, ASD, MVP without regurg, and innocent heart murmurs are NOT risk factors |
|
Definition
| Is a pt with CAD more or less at risk for IE? |
|
|
Term
| Fever & changing or new murmurs |
|
Definition
| What is the main physical findings of a pt with IE? |
|
|
Term
|
Definition
| What are painful bumps on the fingers and toes caused by IE called? |
|
|
Term
|
Definition
| What are Fuzzy spots seen on the retina caused by IE? |
|
|
Term
|
Definition
| What are non-tender spots on the feet and hands caused by IE called? |
|
|
Term
|
Definition
| What is the most common organism responsible for IE? |
|
|
Term
|
Definition
| What type of organism would you expect to see with a pt with a prosthetic valve or who uses drugs? |
|
|
Term
|
Definition
| What organism would you expect to see with a pt with native valve endocarditis? |
|
|
Term
|
Definition
| What organism would you expect to see in a pt with a hx of Rheumatic heart disease? |
|
|
Term
| Staph Aureus OR enterococci |
|
Definition
| What organism would you expect to see in a pt with nosocomia endocarditis? |
|
|
Term
| Mixed pathogens: Staph, yeast, fungi |
|
Definition
| What organism would you expect to see in a pt who uses drugs? |
|
|
Term
|
Definition
| What organism would you expect to see in a pt with a hx of alcoholism? |
|
|
Term
|
Definition
| A pt with IE and what other disease needs to be taken to the OR immediately?? |
|
|
Term
|
Definition
| How many major criteria are needed for Duke's Criteria? |
|
|
Term
|
Definition
| To be a major criteria for IE, microorganisms from 2 separate blood counts must be taken how many hours apart? |
|
|
Term
|
Definition
| How many minor criteria are needed for Duke's criteria? |
|
|
Term
|
Definition
| How long is IV antimicrobial treatment needed for a pt with IE? |
|
|
Term
PCN-G + Gentamycin
*for Strep Viridans |
|
Definition
| Which two drugs can be put together to give a pt with IE that will only need to be given for 2 weeks? |
|
|
Term
4 weeks
*only for strep viridans & UNCOMPLICATED endocarditis |
|
Definition
| How long does a pt being treated with only PCN-G need to be treated for? |
|
|
Term
Ampicillin + Gentamycin
*Must be in combo! |
|
Definition
| For a pt with IE caused by enterococci, what drugs must be given in combination? |
|
|
Term
Nafcillin OR oxacillin (4-6wks)
+
Gentamycin (1st 5-7days) |
|
Definition
| What drugs would you give for a pt with IE caused by Staph. Aureus? |
|
|
Term
|
Definition
| What does a pt with a mechanical valve replacement have to do for the rest of their lives? |
|
|
