NURS 3444 Study Guide - Quiz Guide: Candida Albicans, Infective Endocarditis, Janeway Lesion
Document Summary
Clinical signs: variable onset and severity of presentation, general signs, recurrent fever, fatigue, joint and muscle ache, osler node. Janeway lesion: weight loss, headache, diaphoresis, roth spots, cardiac, heart murmur, chf, petechiae, splinter hemorrhages under nails, hepatosplenomegaly. Iv antibiotics for 4-8 weeks: vancomycin, cefazolin, penicillin g, surgery may be required, prophylaxis antibiotics, 30-60 mins before procedures, dose at home for dental visit. Initial-subtle: tire easily, irritability, weight loss or lack of weight gain, diaphoresis, frequent respiratory infections, later, tachypnea, tachycardia, weak pulse, pallor or cyanosis, nasal flaring, grunting, retractions, cough or crackles, s3 gallop, hypotension, decreased urine output, sleeping upright. Parent management of chf at home: maintain nutritional status, support cardiac function by clustering care and feeding, maintain fluid balance, monitor weight, fluid restrictions, follow labs. Teach parents how to give medication for heart failure management. Improve cardiac function digitalis glycosides: safety, calculate correct dose, double check.
