Objective 13 and 14.txt

used to improve myocardial perfusion during an acute MI, reduce preload and afterload and facilitate left ventricular ejection

beta blocker, get central line established, pt education, swab nose for MRSA, chlorhexidine bath, put lines in, anti-gout med prophylactically

on vent 3-6 hours, have chest tubes, labs (K, Mg, CA, Na), monitor hemodynamics and HR and rhythm

angina with >50% occlusion of the left main coronary artery, unstable angine, ischemia with heart failure, Acute MI with cardiogenic shock, valvular disease, coronary vessels unsuitable for PTCA

fluid and electrolyte imbalance, hypotension, hypothermia, bleeding, cardiac tamponade, decreased LOC, angina pain

ambulating 25-100 ft 3 times a day, in chair 4-8 hours after extubation

prevention is key, tachycardia, cardiomegly, new murmurs

caused by group A strep, most often school age children

take antibiotics for full duration; meds for rest of life

common in IV drug users, valve replacements,systemic infection or structural cardiac defects; strep or staph

oral cavity, skin rashes/lesions, infections, surgery or even IV lines

fever with chills, night sweats, malaise, anorexia, murmur, HF, evidence of systemic embolization, petechiae, splinter hemorrhages (red streaks under nail beds), osler nodes, janeway’s lesions, positive blood culture

due to viral, fungal, or bacterial infection

tachycardia, murmur, friction rub, cardiomegaly, chest pain and dysrhythmias

commonly follows respiratory infection, can be due to MI, SOB, pain relieved when sitting and leaning forward

wear PPE

endocarditis

myocarditis and endocarditis

rheumatic endocarditis

pericarditis

ineffective endocarditis

pericarditis

myocarditis

rheumatic endocarditis