Rhumatic fever
Objectives :
1.Describe the medical aspects of
Rheumatic fever.
2. Assessment
3. Nursing diagnosis
4. Plan appropriate nursing care using
the nursing process approach.
5. Prepare to implement and evaluate.
Description: An inflammatory disease that
affects the connective tissue of the heart , joints,
CNS and subcutaneous tissue.
Etiology and incidence:
1.RF follows by untreated group abhemolytic streptococcal of pharyngitis
tonsillitis .
2. RF usually occurs in children between 6
and 15 years of age with peak incidence at 8
years of age.
Assessment findings:
The findings typically involve the following
clinical manifestation .
1. General
2. Major manifestations
3. Migratory polyarthritis
4. Erythema marginatum
5. Chorea
6. Subcutaneous
Nursing diagnoses:
1. pain
2. Decreased cardiac output
Planning and implementation:
1.Promte rest by maintaining bed rest
2. Administer medication as ordered,
which may include :
a.Penicillin is the antibiotic of choice ,
erythromycin may be used as a substitute
in children sentitive to penicillin is given
to eradicate any remaining streptococci.
b. Aspirin is given to reduce the child's
fever , joint and discomfort .
3. Help main optimal nutritional status
promoting a well- balanced diet.
4. Observe for and assist in managing :
a. Ensuring prophylactic administration of
antibiotics before dental work ,surgery
and upper respiratory urologic
procedures .
b.Preventing the child's exposure to ill
persons.
5. Support the child's family by answering
questions and explaining all treatments
and procedures