Disease
Endocarditis
Pericarditis
Myocarditis
Description
Inflammatory disease
involving the inner
surface of the heart
including the valves.
Organisms travel
through the blood to the
heart where vegetations,
which can become
emboli form
osler’s nodes-painful,
red/purple, pea size
lesions on fingertips
jane ways lesions-flat,
painless, red spots on
palms and soles of feet.
An inflammation of the
outer lining of the heart
Causes
Rheumatic Heart disease
Congenital heart disease
IV drug abuse
Cardiac surgery
Immunosupression
Dental procedures
Invasive procedures
Nsg. Assessment
Fever
Chills, malise, night sweats,
fatigue
Murmurs
Symptons of heart failure
Atrial embolization
Nsg plans and interventions
Monitor hempdynamic status (vital
signs, loc, urinary output
Antibiotics IV for 4-6 weeks
Erythomycin before dental and GU
procedures.
Teach clients about anticoagulant
therapy
Encourage good hygiene
Post MI
Trauma
Neoplasm
Connective tissue damage
Post heart surgery
Idiopathic
Infections
Provide rest and maintain position of
comfort, often pain relief when leaning
forward
Administer analgesics and antiinflammatory meds
Focal or diffuse
inflammation of the
myocardium
systemic infections,
immunosupressed ineffective
Endocarditis: Viral (most
common), radiation,
pharmacologic
Pain: sudden, sharp, severe.
1) substernal, radiating
to the back or arm
2) Aggrivated by
coughing, inhalation,
deep breathing
Pericardial friction rub
Fever
fever, fatigue, malaise, sore
throat, n/v, diarrhea
*7-10 days after flu like sx
dvped the cardiac sxs dvp
such as: friction rub, angina,
CHF sx, EKG changes
corticosteroids, antiinflammatorys, tx
sx: O2, encourage rest periods