Clinical manifestations of IE

History of hypertension, past MRSA infection, and a recently implanted pacemaker. petechiae in the conjunctivae and splinter hemorrhages in his nail beds.

OBJECTIVE DATA

Petechiae in the conjunctivae and splinter hemorrhages in his nail beds.

blood pressure is 138/64, heart rate 80, respiratory rate 18, and temperature 99.5^oF (37.5^oC).

A Heart murmur is noted

Blood culture results are positive for Staphylococcus aureus

Echocardiogram demonstrates vegetation on his mitral valve.

Discussion Questions.

1. What risk factors for IE does E.F. have? and what other risk factors would you assess E.F. for?
2. What clinical manifestations of IE does E.F. present with? and what other clinical manifestation of IE would you assess for him?
3. What diagnostic studies would you expect the admitting health care provider to order for E.F?
4. What medical treatment would you expect the healthcare provider to order for E.F?
5. Identify appropriate nursing diagnoses and goals for E.F.
6. What important patient and caregiver teaching should you provide E.F. and his family?
7. E.F. mentions to you that he has a scheduled upcoming dental surgery. What important information would you provide to him based on his diagnosis of IE?