SkipNavigationCOVID-19UpdateDuetointerestintheCOVID-19vaccines,weareexperiencinganextremelyhighcallvolume.Pleaseunderstandthatourphonelinesmustbeclearforurgentmedicalcareneeds. WeareunabletoacceptphonecallstoscheduleCOVID-19vaccinationsatthistime.Whenthischanges,wewillupdatethiswebsite.Ourvaccinesupplyremainslimited. ReadallCOVID-19VaccineInformation.PatientCareOptions|VisitorGuidelines|CoronavirusInformation|Self-Checker|GetEmailAlertsHealthHomeConditionsandDiseasesRheumaticHeartDiseaseFacebookTwitterLinkedinPinterestPrintWhatisrheumaticheartdisease?Rheumaticheartdiseaseisaconditioninwhichtheheartvalveshavebeenpermanentlydamagedbyrheumaticfever.Theheartvalvedamagemaystartshortlyafteruntreatedorunder-treatedstreptococcalinfectionsuchasstrepthroatorscarletfever.Animmuneresponsecausesaninflammatoryconditioninthebodywhichcanresultinon-goingvalvedamage.Whatcausesrheumaticheartdisease?Rheumaticheartdiseaseiscausedbyrheumaticfever,aninflammatorydiseasethatcanaffectmanyconnectivetissues,especiallyintheheart,joints,skin,orbrain.Theheartvalvescanbeinflamedandbecomescarredovertime.Thiscanresultinnarrowingorleakingoftheheartvalvemakingitharderforthehearttofunctionnormally.Thismaytakeyearstodevelopandcanresultinheartfailure.Rheumaticfevercanoccuratanyage,butusuallyoccursinchildrenages5to15yearsold.It’srareindevelopedcountriesliketheUnitedStates.Whoisatriskforrheumaticheartdisease?Untreatedorunder-treatedstrepinfectionscanincreasetheriskforrheumaticheartdisease.Childrenwhogetrepeatedstrepthroatinfectionsareatthemostriskforrheumaticfeverandrheumaticheartdisease.Whatarethesymptomsofrheumaticheartdisease?Arecenthistoryofstrepinfectionorrheumaticfeveriskeytothediagnosisofrheumaticheartdisease.Symptomsofrheumaticfevervaryandtypicallybegin1to6weeksafteraboutofstrepthroat.Insomecases,theinfectionmayhavebeentoomildtohavebeenrecognized,oritmaybegonebythetimethepersonseesadoctor.Thesearethemostcommonsymptomsofrheumaticfever:FeverSwollen,tender,redandextremelypainfuljoints—particularlythek

Scheduleyourappointmentnowforsafein-personcare.Learnmore:MayoClinicfactsaboutcoronavirusdisease2019(COVID-19)Our COVID-19patient andvisitorguidelines,plustrustedhealthinformationLateston COVID-19vaccination bysite:ArizonapatientvaccinationupdatesArizona,FloridapatientvaccinationupdatesFlorida,RochesterpatientvaccinationupdatesRochesterandMayoClinicHealthSystempatientvaccinationupdatesMCHSSkiptositenavigationSkiptoContentThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion.SectionsforRheumaticfeverSymptoms&causesDiagnosis&treatmentDoctors&departmentsCareatMayoClinicPrintDiagnosisAlthoughthere'snosingletestforrheumaticfever,diagnosisisbasedonmedicalhistory,aphysicalexamandcertaintestresults.BloodtestsIfyourchildwasalreadydiagnosedwithastrepinfectionusingathroatswabtest,yourdoctormightnotorderadditionaltestsforthebacteria.Sometimes,abloodtestthatcandetectantibodiestothestrepbacteriainthebloodisdone.Theactualbacteriamightnolongerbedetectableinyourchild'sthroattissuesorblood.Totestforrheumaticfever,yourdoctorisalsolikelytocheckforinflammationbymeasuringinflammatorymarkersinyourchild'sblood,whichincludeC-reactiveproteinandtheerythrocytesedimentationrate.Electrocardiogram(ECGorEKG)Thistestrecordselectricalsignalsastheytravelthroughyourchild'sheart.Theresultscantelliftheelectricalactivityoftheheartisabnormalandcanhelpyourdoctordetermineifpartsoftheheartmaybeenlarged.EchocardiogramSoundwavesareusedtocreatelive-actionimagesoftheheart,whichcanhelpyourdoctortodetectheartproblems.CareatMayoClinicOurcaringteamofMayoClinicexpertscanhelpyouwithyourrheumaticfever-relatedhealthconcernsStartHereMoreInformationRheumaticfevercareatMayoClinicEchocardiogramElectrocardiogram(ECGorEKG)TreatmentThegoalsoftreatmentforrheumaticfeveraretodestroyremaininggroupAstreptococcalbacteria,relievesymptoms,controlinflammationandpreventtheconditionfromreturning.Treatmentsinclude:Antibiotics.Yourchild'sdoctorwillprescribepenicillinoranotherantibiotictoeliminateremainingstrepbacteria

Rheumatic Fever Nursing Diagnosis Interventions and Care Plans ... Another complication of rheumatic fever is rheumatic heart disease, a condition which ...Home/NursingStudyGuides/Cardiac/RheumaticFeverNursingDiagnosisInterventionsandCarePlansRheumaticFeverNursingDiagnosisInterventionsandCarePlansnursestudynet@gmail.comCardiac,NursingCarePlans,NursingStudyGuides,PediatricLeaveacomment2,988ViewsShareFacebookTwitterPinterestRheumaticFeverNCLEXReviewCarePlansNursingStudyGuideonRheumaticFeverRheumaticfeverisaninflammatorydiseasethatresultsfromanimproperlytreatedstrepthroatorscarletfeverduetoaninfectioncausedbyStreptococcusbacteria.Despitethefactthatstrepthroatisacommonconditioninmanydevelopingcountries,itisrarelytoariseintheUnitedStatesandotherdevelopedcountries. Rheumaticfevercanaffectyoungerchildrenandadults.However,itoftenaffectschildrenagebetween5and15yearsold.Rheumaticfeverinvolvesinflammationofthejointsandskinandmaycausepermanentinjurytotheheart.Itcandamagetheheartvalvesandheartfailure.Thetreatmentsforthisdiseaseincludealleviatingsymptoms,reducinginflammationandpreventingitsrecurrence.SignsandSymptomsofRheumaticFeverTheonsetofsymptomsforrheumaticdiseasetypicallyoccursabout2-4weeksafterastrepthroatinfection.Itvariesperpersonandcanchangethroughoutthecourseofthedisease.Thesesymptomsinclude:FeverPainfulandtenderjointsoftenlocalizedintheknees,ankles,elbowsandwristPaininonejointthatmovestoanotherjointRednessandswellingofjointsthatfeelswarmtotouchSmall,painlessbumpsbeneaththeskinChestpainHeartmurmurFatigueFlatorslightlyraised,painlessrashwitharaggededgeSydenhamchorea-Jerky,uncontrollablebodymovements;oftenseeninthehands,feetandfaceOutburstsofunusualbehavior,suchascryingorlaughinginappropriatelyCausesandRiskFactorsofRheumaticFeverThemaincauseofrheumaticfeverisimproperlytreatedthroatinfectionbroughtaboutbygroupAStreptococcus.Thesaidbacteriacausestrepthroatorscarletfever.Thereisnoclearrelationshipbetweenstrepinfectionandrheumaticfever;however,researchersbelievethataperson’s

Nursing diagnosis Decreased cardiac output related to valve dysfunction or HF. Objectives: client increases cardiac output as evidenced by ...Slideshareusescookiestoimprovefunctionalityandperformance,andtoprovideyouwithrelevantadvertising.Ifyoucontinuebrowsingthesite,youagreetotheuseofcookiesonthiswebsite.SeeourUserAgreementandPrivacyPolicy.Slideshareusescookiestoimprovefunctionalityandperformance,andtoprovideyouwithrelevantadvertising.Ifyoucontinuebrowsingthesite,youagreetotheuseofcookiesonthiswebsite.SeeourPrivacyPolicyandUserAgreementfordetails.HomeExploreLoginSignupSuccessfullyreportedthisslideshow.WeuseyourLinkedInprofileandactivitydatatopersonalizeadsandtoshowyoumorerelevantads.Youcanchangeyouradpreferencesanytime.RheumaticHeartDiseaseUpcomingSlideShareLoadingin…5×11of75Likethispresentation?Whynotshare!ShareEmail  Dr.RabinRheumaticHeartDiseaseby RabinShrestha5711 viewsRheumaticheartdiseaseby IndahSyafiqah10530 viewsRheumaticHeartDiseaseby UbaidNP7526 viewsRheumaticvalvularheartdiseasepe...by AkshayGolwalkar4731 viewsRHD(RheumaticHeartDisease)by FarhanaShirin7188 viewsRheumaticfeverandheartdiseaseby SwapnaPillai23089 viewsFacebookTwitterLinkedInSize(px)StartonShowrelatedSlideSharesatendHealth&Medicine144,471viewsAug.11,2017DownloadLikeLikedShareRheumaticHeartDiseaseAboutRheumaticHeartDisease,definition,etiology,clinicalfeatures,diagnosisandmanagement.ReadmoreNeeluAryalFollowRelatedBooksFreewitha30daytrialfromScribdSeeallTheSecrettoSuperhumanStrengthAlisonBechdel(5/5)FreeSuperHuman:TheBulletproofPlantoAgeBackwardandMaybeEvenLiveForeverDaveAsprey(4/5)FreeTheLittleBookofGameChangers:50HealthyHabitsforManagingStress&AnxietyJessicaCording(4/5)FreeThe4SeasonSolution:AGroundbreakingPlantoFightBurnoutandTapintoOptimalHealthDallasHartwig(3/5)FreeBeyondCoffee:ASustainableGuidetoNootropics,Adaptogens,andMushroomsJamesBeshara(4/5)FreeTheRabbitEffect:LiveLonger,Happier,andHealthierwiththeGroundbreakingScienceofKindnessKelliHarding(5/5)FreeWhyDidIComeintoThisRoom?:ACandidCon

HomeNursingNotesMaternalandChildNursing(Notes)RheumaticFeverNursingCarePlan&ManagementPrevArticleNextArticleNotesDescriptionRheumaticfeverisaninflammatorydiseasethatcandevelopasacomplicationofinadequatelytreatedstrepthroatorscarletfever.Rheumaticfever(RF) isasystemicillnessthatmayoccurfollowinggroupAbeta-hemolyticstreptococcal(GABHS)pharyngitisinchildren.Studiesinthe1950sduringanepidemiconamilitarybasedemonstrated3%incidenceofrheumaticfeverinadultswithstreptococcalpharyngitisnottreatedwith antibiotics.Strepthroatandscarletfeverarecausedbyan infection withstreptococcusbacteria.PathophysiologyRheumaticfeverdevelopsinchildrenandadolescentsfollowingpharyngitiswithGABHS(ie,Streptococcuspyogenes).Theorganismsattachtotheepithelialcellsoftheupperrespiratorytractandproduceabatteryofenzymes,whichallowsthemtodamageandinvadehumantissues.Afteranincubationperiodof2-4days,theinvadingorganismselicitanacuteinflammatoryresponse,with3-5daysof sorethroat,fever,malaise,headache,andelevatedleukocytecount.Inasmallpercentageofpatients,infectionleadstorheumaticfeverseveralweeksafterasorethroathasresolved;onlyinfectionsofthe pharynxhavebeenshowntoinitiateorreactivaterheumaticfever.Directcontactwithoral(PO)orrespiratorysecretionstransmitstheorganism,andcrowdingenhancestransmission;patientsremaininfectedforweeksaftersymptomaticresolutionofpharyngitisandmayserveasareservoirforinfectingothers.Severescarringofthevalvesdevelopsduringaperiodofmonthstoyearsafteranepisodeofacuterheumaticfever,andrecurrentepisodesmaycauseprogressivedamagetothevalves.Themitralvalveisaffectedmostcommonlyandseverely(65-70%ofpatients);the aorticvalve isaffectedsecondmostcommonly(25%).StatisticsandIncidencesRheumaticfeverismostcommonin5-to15-year-oldchildren,thoughitcandevelopinyoungerchildrenandadults.TheprevalenceofRHDintheUnitedStateswaslessthan0.05per1000population,withonlyrareregionaloutbreaksreportedinTennesseeinthe1960sandinUtah,Ohio,andPennsylvaniainthe1980’s.However,arecentassessmentoftemporaltrendsofpatientsdiagn

SkiptocontentMenuMenuADVERTISEMENTSAcuterheumaticfeverisaninflammatoryautoimmunediseasethatoccurs2to6weeksfollowinganuntreatedorundertreatedgroupAbeta-hemolyticstreptococcalinfection.Itaffects theheart,joints,centralnervoussystem(CNS),andskin.Itispreventedbyprompttreatmentoftheinfectionthroughaprophylaxisofantibioticswithin9daysofonsetofstreptococcalinfectionbeforefurthercomplicationscandevelop.Becauserheumaticheartdiseasedoesnotoccurafteronlyoneattackandchildrenaresusceptibletorecurrentattacksofrheumaticfever,itisvitalthataninitialepisodeisdiagnosedandtreated,andthatlong-termprophylactictherapy(5yearsormore)isgivenfollowingtheacutephase.Thesignsandsymptomsofrheumaticfeverare classifiedinto majormanifestations(polyarthritis,carditis,chorea,subcutaneousnodules,anderythemamarginatum)andminormanifestations(fever,arthralgia,ECGandlaboratorychanges)accordingtotherevisedJonescriteria.Thediagnosisisbaseduponthepresenceof2majormanifestations,or1majorand2minormanifestations,supportedbyevidenceofaprecedinggroupastreptococcalinfectionisindicativeofacuterheumaticfever.NursingCarePlansNursingcareplanninggoalsforachildwithacuterheumaticfeverinclude reducingpain,conservingenergy,promotingactivitytolerance,andprovidingeducationaboutthedisease,treatmentandpreventivemeasuresneededtoavoidrecurrenceandpossiblecomplications.Herearefour(4)nursingcareplansandnursingdiagnosisforacuterheumaticfever:NursingCarePlansAcutePainHyperthermiaActivityIntoleranceRiskforInfectionSeeAlsoAcutePainNursingDiagnosisAcutePainMayberelatedtoInflammationArthralgiaPossiblyevidencedbyADVERTISEMENTSVerbaldescriptionofpainGuardingandprotectivebehaviorofpainfuljointsWarmthataffectedjointsEdemaRednessDesiredOutcomesChildwillverbalizelesspainbyusingascaleof1to10.Childwill appearrelaxedwithoutguarding.Child’sjointswillnotbecomeinflamed,red,orwarm.NursingInterventionsRationaleAssessthechild’spainperceptionusinganappropriatescale every2to3hours.Providesinformationaboutthepainlevelofthechild.Assesschangesinbehavior,such

Assessment and Diagnostic FindingsSkiptocontentMenuMenuADVERTISEMENTSRheumaticfeverisaninflammatorydiseasethatcandevelopasacomplicationofinadequatelytreatedstrepthroatorscarletfever.WhatisRheumaticFever? PathophysiologyStatisticsandIncidencesCausesClinicalManifestationsAssessmentandDiagnosticFindingsMedicalManagementPharmacologicManagementNursingManagementNursingAssessmentNursingDiagnosesNursingCarePlanningandGoalsNursingInterventionsEvaluationDocumentationGuidelinesSeeAlsoFurtherReadingWhatisRheumaticFever? Rheumaticfeverisaninflammatorydiseasethatcandevelopasacomplicationofinadequatelytreatedstrepthroatorscarletfever.Rheumaticfever(RF)isasystemicillnessthatmayoccurfollowinggroupAbeta-hemolyticstreptococcal(GABHS)pharyngitisinchildren.Studiesinthe1950sduringanepidemiconamilitarybasedemonstrated3%incidenceofrheumaticfeverinadultswithstreptococcalpharyngitisnottreatedwithantibiotics.Strepthroatandscarletfeverarecausedbyaninfectionwithstreptococcusbacteria.PathophysiologyRheumaticfeverdevelopsinchildrenandadolescentsfollowingpharyngitiswithGABHS(ie,Streptococcuspyogenes).Streptococcuspyogenesbacteria(Pappenheim’sstain)|CentersforDiseaseControlandPreventionTheorganismsattachtotheepithelialcellsoftheupperrespiratorytractandproduceabatteryofenzymes,whichallowsthemtodamageandinvadehumantissues.Afteranincubationperiodof2-4days,theinvadingorganismselicitanacuteinflammatoryresponse,with3-5daysofsorethroat,fever,malaise,headache,andelevatedleukocytecount.Inasmallpercentageofpatients,infectionleadstorheumaticfeverseveralweeksafterasorethroathasresolved;onlyinfectionsofthepharynxhavebeenshowntoinitiateorreactivaterheumaticfever.Directcontactwithoral(PO)orrespiratorysecretionstransmitstheorganism,andcrowdingenhancestransmission;patientsremaininfectedforweeksaftersymptomaticresolutionofpharyngitisandmayserveasareservoirforinfectingothers.Severescarringofthevalvesdevelopsduringaperiodofmonthstoyearsafteranepisodeofacuterheumaticfever,andrecurrentepisodesmaycauseprogressivedamageto

SkiptomaincontentHeartHomeHeartRheumaticheartdiseaseActionsforthispageListenPrintSummaryReadthefullfactsheetRHDisassociatedwithdamagetothevalvesoftheheart.RHDdevelopsafterARFandparticularlywithrecurrentARF.TheprevalenceofrheumaticheartdiseaseishighinremoteAboriginalandTorresStraitIslandercommunities,MaoriandPacificIslanderpeoples,andthosewhohavemigratedtoAustraliafromlowtomiddleincomecountrieswhereARFandRHDremainscommon.OnthispageRheumaticheartdisease(RHD)iscommoninremoteAboriginalcommunitiesRiskfactorsofRHDSymptomsofRHDRheumaticfeverexplainedRHDaffectsheartvalvesDiagnosisofrheumaticheartdiseaseTreatmentofrheumaticheartdiseaseComplicationsofrheumaticheartdiseasePreventionofrheumaticheartdiseaseWheretogethelpWhilerheumaticheartdisease(RHD)maydevelopafterasingleboutofacuterheumaticfever(ARF),itistypicallyassociatedwithrecurrentepisodesofARF.ARFusuallyoccursduringchildhoodbetweentheagesof5and15years.RHDcandamageanypartoftheheartincludingthevalves,theliningoftheheartortheheartmuscle,butmoreoftendamagestheheartvalves,especiallythoseontheleftsideoftheheart.StoppingepisodesofrecurrentARFcanpreventrheumaticheartdisease.ARFiscausedbyinfectionwiththeGroupAStreptococcus(GAS)bacterium.ThisusuallyinvolvesGASinfectioninthethroat(pharyngitis)or‘strepthroat’.ThereisongoingdebateaboutwhetherARFmayalsooccurwithaGroupAStreptococcusskininfection(impetigo,pyoderma).Rheumaticheartdisease(RHD)iscommoninremoteAboriginalcommunitiesInAustralia,theprevalenceofRHDishighestinremoteAboriginalandTorresStraitIslandercommunities.TheriskofdeathfromRHDinthesecommunitiesis20timesthatofAustraliansinthegeneralpopulation.AlsoathigherriskareMaoriandPacificIslandpeoplesandthosewhohavemigratedtoAustraliafromlowtomiddleincomecountrieswhereARFandRHDremainwidespread.RiskfactorsofRHDRiskfactorsincludepoverty,overcrowdingandreducedaccesstomedicalcare.StoppingepisodesofrecurrentARFcanpreventrheumaticheartdisease.Onceacuterheumaticfeverisdiagnosed,stoppingfurtherepisodesofARFcanhaltprogressionofthedisease.Treatmen

[Nursing care for the patient with rheumatic heart disease]. Hu Li Za Zhi. 1972 Oct​;19(4):1-9. [Article in Chinese]. Author. T W Lin. PMID: 4487509. No abstract ...Clipboard,SearchHistory,andseveralotheradvancedfeaturesaretemporarilyunavailable.SkiptomainpagecontentCOVID-19InformationPublichealthinformation(CDC)Researchinformation(NIH)SARS-CoV-2data(NCBI)Preventionandtreatmentinformation(HHS)Español AccesskeysNCBIHomepageMyNCBIHomepageMainContentMainNavigationSearch:SearchAdvancedClipboardUserGuideSaveEmailSendtoClipboardMyBibliographyCollectionsCitationmanagerDisplayoptionsDisplayoptionsFormatAbstractPubMedPMIDSavecitationtofileFormat:Summary(text)PubMedPMIDAbstract(text)CSVCreatefileCancelEmailcitationSubject:1selecteditem:4487509-PubMedTo:Format:SummarySummary(text)AbstractAbstract(text)MeSHandotherdataSendemailCancelAddtoCollectionsCreateanewcollectionAddtoanexistingcollectionNameyourcollection:Namemustbelessthan100charactersChooseacollection:UnabletoloadyourcollectionduetoanerrorPleasetryagainAddCancelAddtoMyBibliographyMyBibliographyUnabletoloadyourdelegatesduetoanerrorPleasetryagainAddCancelYoursavedsearchNameofsavedsearch:Searchterms:TestsearchtermsWouldyoulikeemailupdatesofnewsearchresults?SavedSearchAlertRadioButtonsYesNoEmail:(change)Frequency:MonthlyWeeklyDailyWhichday?ThefirstSundayThefirstMondayThefirstTuesdayThefirstWednesdayThefirstThursdayThefirstFridayThefirstSaturdayThefirstdayThefirstweekdayWhichday?SundayMondayTuesdayWednesdayThursdayFridaySaturdayReportformat:SummarySummary(text)AbstractAbstract(text)PubMedSendatmost:1item5items10items20items50items100items200itemsSendevenwhentherearen'tanynewresultsOptionaltextinemail:SaveCancelCreateafileforexternalcitationmanagementsoftwareCreatefileCancelYourRSSFeedNameofRSSFeed:Numberofitemsdisplayed:510152050100CreateRSSCancelRSSLinkCopyActionsCiteFavoritesDisplayoptionsDisplayoptionsFormatAbstractPubMedPMIDSharePermalinkCopyPagenavigationTitle&authorsSimilararticlesMeSHtermsTitle&authorsSimilararticlesM

Members of the team include nursing, a cardiology unit—cardiologists, imaging specialists, and interventional cardiologists—and cardiac surgery.Home»Topics»VascularMedicineAmongthetop10infectiouscausesofdeathglobally,thegroupA Streptococcus (GAS)bacteriumcanresultinarangeofdiseases,includingpharyngitis,scarletfever,andpost-streptococcaltoxicshocksyndrome.Acuterheumaticfever(ARF),anotherpotentialconsequenceofGASinfection,canleadtorheumaticheartdisease(RHD),whichisassociatedwithhighmortality,primarilyinchildren,adolescents,andyoungadultsinlow-andmiddle-incomecountries.1 RHDhasbeennearlyeliminatedintheUnitedStates,withacurrentincidenceofapproximately0.04–0.06casesper1000childrenannually,althoughratesarehigherinsomeUSterritoriesandregionswithlargepopulationsofimmigrantsfromcertaincountries.2StanfordShoor,MD,clinicalprofessorofmedicineandrheumatologyatStanfordUniversity,PaloAlto,California,estimatesthathesees2or3casesperyear.“BecauseofwidespreaduseofantibioticsintheUnitedStates,theincidenceofrheumaticcarditisisrelativelylow.Inaddition,unlessthediseaseinvolvessignificantarthritis,we[rheumatologists]maynotseethem,”hetoldCardiologyAdvisor.ContinueReadingWhenpatientsdopresenttoarheumatologistwithsymptomscharacteristicofARF,itmustbeconsideredinthediagnosticprocess,andthephysicianmaybeinvolvedinthepatient’songoingcare.“AspatientswithARFcanpresentwithfever,rashes,andpolyarthritis,wehavetoconsiderARFinthedifferentialdiagnosis,aspatientswithsuchsymptomscanappeartohaverheumatoidarthritis,systemiclupuserythematosus,orvasculitis,”saidDrShoor.“Therapeutically,ifpatientsaresufferingsignificantlyfromarthritis,wemayworkwithcardiologistsandusenonsteroidalanti-inflammatorydrugsorevencorticosteroidsinlowdoses[forabbreviated]treatment[periods]untilthesesymptomsresolve.”DrShoorgivesanexampleofapatientwithARFthathefollowedfor5yearswho,afterinitialtreatmentwithlow-dosesteroidsforarthritis,hasremainedsteroid-freeforseveralyearswithnorashorarthriticdiseaseflares,continuestotake long-termantibiot