Provide your possible answers to the following case study. Apply all you underst

Question

Provide your possible answers to the following case study. Apply all you understand from the lecture including critical thinking for this case study. Scenario: Ariane Waters, 21 years of age, is a female patient who is admitted to the hospital with the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with tricuspid insufficiency murmur grade II, and a temperature of 104 F. The patient complains of extreme fatigue, and anorexia. The echocardiogram reveals vegetations on the tricuspid valve. (Learning Objective 4) Questions: a.) What risk factors predisposed Ms. Waters to develop infective endocarditis? b.) Explain the pathophysiology of infective endocarditis as it relates to this case c.) What additional clinical manifestations should the nurse include in the assessment of the patient? d.) What medical management should the nurse anticipate for the patient? at nursing management should be provided for the patien and family?

Explanation / Answer

A) The risk factor for infective endocarditis in this patient is tongue and nose piercing.

B) The pathophysiology of infective endocarditis include three critical stages. They are preparation of cardiac valves for bacterial adhesion, adhesion of circulating bacteria to the eroded cardiac valves and propagation and multiplication of the bacteria present in the cardiac valves.

C) Presence of vascular phenomena such as septic emboli, Janeway lesions, conjunctival hemorrhage and immunological phenomena such as glomerulonephritis, oslers node and Roth spots should be included.

D) The nurse should anticipate for heart failure, hemodynamic compromise and spread of bacteremia.

E) Creating awareness and educating patient and family regarding risk factors of infectivecendicarditis, antibiotic prophylaxis and periodic follow up.

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