Pediatric Heart Disease
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show | Staph aureus. [(Nafcillin OR Oxacillin) + 5d gent] x 4-6 weeks
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show | Strep viridans. Tx with PCN G x 4 wks OR PCN (or CTX) + gent x 2 wks
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show | Vanc + gent (+/- rifampin) x 4-6wks
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show | Strep viridans. Tx with PCN G x 4 wks OR PCN (or CTX) + gent x 2 wks
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show | Enterococci (Grp D Strep). Tx with ampicillin + gent x 4-6 wks. If PCN allergic: vanc + gent x 4-6 wks
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show | Can be Pseudomonas or Serratia.
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show | Fungi
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Pt with indwelling IV catheter gets endocarditis. What is the organism? | show 🗑
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show | Vanc +/- TMP/SMX x 4-6wks
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Person with Staph Epi endocarditis. What is Tx? | show 🗑
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What are HACEK organisms? | show 🗑
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Person with HACEK endocarditis. What is Tx? Does tx change if they have a prosthetic heart valve? | show 🗑
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show | Hemophilus spp, Actinobacillus, Actinomycetemcomitans, Cardiobacterium hominus, Eikenella corrodens, Kingella kingae
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Prophylaxis for endocarditis in oral/esophageal/resp procedures | show 🗑
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Pts with high risk of developing endocarditis. What do you prophylax with? What to use if PCN allergic? | show 🗑
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show | Congenital heart disease, acquired valvular disease, aortic stenosis, MVP with regurg or thick valves. Amox OR ampicillin. If PCN allergic: Vanc
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show | no
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show | yes
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show | no
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Need endocarditis prophylaxis? Rigid bronch | show 🗑
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show | no
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show | JONES. MAJOR: J - Joints (migratory polyarthritis), O (O-antigen, carditis), N (subQ nodules), E (erythema marginatum), S (Sydenham chorea). MINOR: arthralgia (can't use if have arthritis), fever, increased ESR < CRP, EKG with long PR.
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How many criteria needed to make ARF diagnosis? | show 🗑
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show | penicillin or erythromycin to get rid of bug, ASA as anti-inflammatory (tx arthritis and carditis), but if have CHF with carditis, give prednisone.
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Created by:
christinapham
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