Aquired Cardiovascular Disease
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each of the black spaces below before clicking
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| ____is an inflammatory disease which may develop after a _____ streptococcal infection (such as strep throat or scarlet fever) and can involve the heart, joints, skin, and brain. It commonly appears in children ages ___-___? What is the average age? | show 🗑
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| show | 10 to 20 days
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| T/F Rheumatic fever is an autoimmune disorder | show 🗑
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| Jones diagnostic criteria for Rhumatic fever includes: ____ major criteria and previous strep infection - or - ___ major and ____ minor criteria and hx of previous step infection | show 🗑
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| show | carditis (maydevelop rehumatic heart disease; r/t damage to mitral & aortic valves), polyarthritis, erythema marginatum (non ichy rings on trunk), subcutaneous nodules (elbows/shoulders/bony parts), and chorea
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| show | prev hx of rheumatic fever, athralgia (joint pain), fever, prolonged PR interval and elevated acute phase rx
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| show | Erythrocyte sedimation rate, C-reactive protein, White blood count and Antistreptolysin O (ASO) titer which is not seen in Kawasaki
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| show | streptolysin O
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| What does the immune system develop due to the stimulation of stretolysin O caused by strep? | show 🗑
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| show | anti-streptolysin O antibodies
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| 2 medications to treat strep infection | show 🗑
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| show | without carditis 5 yrs or until age 21 (whichever longer), with carditis 10 yrs or into adulthood (whichever longer), residual heart damage age 40
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| What Anti-Inflammatory medication are used for pts with minimal or no carditis to control pain & suppress reheumatic activity for acute rheumatic fever? What is used with child with pancarditis, CHF, Valvular involvement with ARF (Acute Rheumatic Fever) | show 🗑
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| CHF meds for pt with acute rheumatic fever | show 🗑
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| show | !!!!systolic murmur!!!!!!; CHF; Tachycardia at rest
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| show | False - restricted physical activity
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| show | kawasaki disease
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| Incidence for Kawasaki disease | show 🗑
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| show | unknown
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| fever in Kawasaki disease is normally higher or lower then rhuematic fever | show 🗑
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| 6 criteria (not findings) for Kawasaki disease (must have fever and at least 4 others) | show 🗑
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| How long is the acute, subacute and convalescent phases for Kawasaki disease? | show 🗑
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| Kawasaki Disease diagnostic findings (not criteria) | show 🗑
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| show | increased thrombocytosis and moderate anemia
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| Most serious complication of Kawasaki Disease | show 🗑
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| show | IV IgG, ASA (first for fever 80-100mg/kg/day then for antiplatelet 3-5 mg/kg/day)
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| show | False - not beneficial
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| The inclusion of corticosteroids in aspirin-containing regimens for the initial treatment of ____ reduces the incidence of coronary aneurysms. | show 🗑
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| If a child has Kawasaki Disease, why should they be concerned with varicella or influenza | show 🗑
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| How can a child get CHF with Kawasaki Disease? | show 🗑
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| show | 6 months
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| If a child is not treated with IV IgG for Kawasaki Disease what is the chance they will develop coronary artery aneurysms? | show 🗑
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| T/F recurrence of Kawasaki disease is common | show 🗑
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| show | myocardial ischemia, coronary artery aneurysms, myocardial infarction and potential for sudden death
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| show | lymph node
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| show | It is important to get a throat culture if child has sore throat without signs of viral illness.
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| show | False it is not seen in children under 2 and is Rare in 3rd year of life
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| show | Damaged valves cause obstruction to blood flow and myocardium has to pump against increased resistance
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| show | Acute Rheumatic Fever
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| With ARF What type of activities can a pt do if they are on bedrest? | show 🗑
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| show | ARF Acute Rheumatoid Fever
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| Discharge planning of Kawasaki disease is Aspirin administration. What do you want to minimize? What Vital Sign do you want to monitor? | show 🗑
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| show | Petechiae, Bleeding gums, Tinnitus, Hematuria, Hematochezia (bloody stools), Hematemesis
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| In Discharge planning of kawasaki disease what is the #1 most important thing to teach a parent? | show 🗑
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| show | Exposure/development of varicella or influenza; signs & Sx of CHF; Chest pain, dyspnea, extreme lethargy, syncope
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| Long term care especially importent w/ severe coronary disease; teach family CPR; Potential activity restriction; Admin influenza vaccine; & Delay live virus vaccines until at least 6 months after IVIG (ex. Viricella & MMR) are all follow-up care in __? | show 🗑
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| What does an elevated titer of ASO indicate? | show 🗑
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| show | Prevent further cardiac damage; long term antibiotics; standard bacterial endocarditis prohylaxis
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| What in discharge teaching of ARF is important to teach about physical activity? | show 🗑
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| What do you need to theach the discharged pt of ARF about Birth control? | show 🗑
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Created by:
cgwayland
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