Source: http://circ.ahajournals.org/cgi/content-nw/full/111/23/e394/TBLIB
Echocardiographic Features That Suggest Potential Need for Surgical Intervention
Vegetation
Persistent vegetation after systemic embolization
Anterior mitral leaflet vegetation, particularly with size >10 mm* embolic events during first 2 wk of antimicrobial therapy*
Increase in vegetation size despite appropriate antimicrobial http://circ.ahajournals.org/math/dagger.gif
Valvular dysfunction
Acute aortic or mitral insufficiency with signs of ventricular http://circ.ahajournals.org/math/dagger.gif
Heart failure unresponsive to medical http://circ.ahajournals.org/math/dagger.gif
Valve perforation or http://circ.ahajournals.org/math/dagger.gif
Perivalvular extension
Valvular dehiscence, rupture, or http://circ.ahajournals.org/math/dagger.gif
New heart http://circ.ahajournals.org/math/dagger.gif
Large abscess or extension of abscess despite appropriate antimicrobial http://circ.ahajournals.org/math/dagger.gif
See text for more complete discussion of indications for surgery based on vegetation characterizations.
Surgery may be required because of risk of embolization.
Surgery may be required because of heart failure or failure of medical therapy.
Echocardiography should not be the primary modality used to detect or monitor heart block.
Source: http://circ.ahajournals.org/cgi/content-nw/full/111/23/e394/TBLIB
V. Nursing Care
According to the work of Estlow (1998) in the work entitled: Prevention of Infective Endocarditis in the Pediatric Congenital Heart Population. "Nursing's role and responsibility is to convey the appropriate information to patients, families, and the staff who care for children with heart disease." Lynch (1999) states "Nurses can promote innovative teaching methods to further clients' well-being while meeting their educational needs. Teaching packages for educating the pediatric population, which include...
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Nephrotic Syndrome is not a disease. It is a condition that is characterized by damaged glomeruli in the kidney. This damage might be caused by one or more disease. These diseases can be related to the kidney as in Familial Focal Segmental Glomerulosclerosis, abbreviated FFGS or membranous nephropathy. Or it can present from relatively distantly related diseases such as heart diseases, hypertension, diabetes and lupus. The types of diseases that
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