Infective Endocarditis Essay

822 words - 4 pages

Infective endocarditis is the inflammation of the damaged parts of the heart due to an infection usually from elsewhere in the body. In this disease the endocardium (the inner lining of the heart) is inflamed and can lead to damaged heart valves and to other life-threatening complications. William Osler was the first one to recognize this disease and gave a name to it in 1885 in his Gulstonian lectures.
When a patient’s heart has a defect or a part that is not as strong as the rest then that part is susceptible to infective endocarditis. This tends to come from blood flowing from a higher pressure area in the heart to a lower pressured area. This causes an ‘indention’ in the heart’s ...view middle of the document...

Nurses should also be aware of patients that have IVs. Since an IV is considered an invasive procedure nurses need to make sure they clean the area before starting their line. Nurses need to watch the line for signs of inflammation and infection. Nurses need to assess for patient ways that infective endocarditis can be diagnosed. Patients should have blood cultures taken that come back positive for an infection. An echocardiography and a transesophageal echocardiography can both be used to help determined a diagnosis of infective endocarditis. Patients will need special care because of the risk of stroke or pulmonary emboli. Nurses would plan on preventing infective endocarditis by keeping the patient free from infection.
Nonsurgical management of infective endocarditis is medications. Antimicrobials would be used to help kill the bacteremia. These are usually received via IV and the treatment can last from 4 to 6 weeks. Many patients will be hospitalized for a duration of time during infective endocarditis due to the major health risks that are involved. Patients tend to go home after they have regained control over their fever, and blood cultures come back negative. Patients with infective endocarditis may need increased rest to have an adequate amount.
Patients should avoid being on anticoagulants. Anticoagulants increase the risk of bleeding and of an embolism leaving the heart and are therefore refrained from use unless needed for another health problem. (ex the prevention of thrombus)...

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