RHEUMATIC HEART
DISEASE
DEFINITION: Endocarditis
associated with rheumatic fever caused by group A beta-hemolytic streptococcal
infection.
CLINICAL MANIFESTATIONS
·
Heart murmurs
characteristic of valvular stenosis, egurgitation or both become audible on
auscultation
·
Cardiac symptoms
defend on which side of the heart is involved. Severity of symptoms depends on
size and location of the lesion
·
The mitral valve is
mostly affected, producing symptoms of left sided heart failure, shortness of
breath, crackles and wheezes
DIAGNOSTIC PROCEDURES
·
Throat culture for
accurate diagnosis of streptococcal infection of the throat
MEDICAL MANAGEMENT
·
Eradication of
causative organism and prevention of additional complications such as
thromboembolitic event
·
Long term
antibiotic therapy-Penicillin
NURSING MANAGEMENT
·
Teaching patient
about the disease its treatme nt and the steps needed to avoid complications
·
Educate patient and
community regarding recognition of streptococcal infections and the need to
treat them
·
Teach susceptible
patients that may require long term oral antibiotic therapy and may be required
to take prophylactic antibiotics
·
Emphasize that less
common diagnostic procedures such as cystoscopy, also require prophylactic
antibiotic therapy
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