DISORDER CLINICAL PATHOPHYSIOLOGY MEDICAL SURGICAL NURSING

MANIFESTATION MANAGEMENT MANAGEMENT MANAGEMENT

S

Endocarditis  Flu-like  Administration of  Some children  Assess the child’s

symptoms, high doses of may need heart respiratory and
such as appropriate valve surgery if cardiovascular status
fever, chills, antibiotics there is severe  Administer
tiredness, intravenously for heart valve medications as
aching 2 to 8 weeks damage due to prescribed
muscles and the infection.  Monitor serum
joints, night  Administration of This is done to antibiotic levels
sweats, and prophylactic fix or replace a  Monitor side effects
headaches antibiotic therapy damaged heart of antibiotics and for
1 hour before valve. Or a infiltration at the
 Shortness of certain procedures child may need infusion site
breath that are associated surgery to help  Keep invasive
with the risk of clean out the procedures to a
 Cough entry of endocarditis. minimum
organisms in very This may be  Use careful aseptic
Skin changes, such high-risk patients done if the technique when
as: antibiotics don’t managing central
 Prophylaxis is work well illness and venous
 Pale skin given only to enough on the access devices
patients with the infection.  Teach the parents or
 Bumps highest risk of guardian about
under the poor outcome if child’s care and plan
skin on the they develop quiet age-appropriate
fingers and endocarditis. activities, also
toes educate about good
 Drug of choice oral hygiene and
 Spots on the include regular dental care
palms of the amoxicillin, are important
hands and ampicillin, preventive measures
soles of the clindamycin,  Assess child’s vital
feet cephalexin, signs, SpO2 and level
cefadroxil, of consciousness
 Small azithromycin and because CHF and
broken clarithromycin embolism may occur
 blood
vessels with
tiny spots
under the
nails, on the
whites of the
eyes, in the
mouth, or on
the chest

 Nausea and
vomiting,
decreased
appetite,
weight loss

 Discomfort
in the belly

 Blood in the
urine

 Swelling of
the feet,
legs, or
abdomen