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    Concept and Mapping For Rheumatic Heart Disease

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    Ailyne A. Cleofe
    Rheumatic heart disease is caused by group A streptococcus bacteria infecting the throat. This can lead to rheumatic fever and damage heart valves. Symptoms include fever, chest pain, swollen joints, and heart palpitations. Diagnosis involves blood tests, throat cultures, electrocardiograms, and echocardiograms. Nursing management focuses on prevention by culturing children with sore throats, hospitalizing those with rheumatic fever, administering antibiotics and aspirin, and teaching patients about follow up care and limiting activities.

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    Concept and Mapping For Rheumatic Heart Disease

    Uploaded by

    Ailyne A. Cleofe
    926 views5 pages
    Rheumatic heart disease is caused by group A streptococcus bacteria infecting the throat. This can lead to rheumatic fever and damage heart valves. Symptoms include fever, chest pain, swollen joints, and heart palpitations. Diagnosis involves blood tests, throat cultures, electrocardiograms, and echocardiograms. Nursing management focuses on prevention by culturing children with sore throats, hospitalizing those with rheumatic fever, administering antibiotics and aspirin, and teaching patients about follow up care and limiting activities.

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    Concept Map for RHD

    Original Title

    Concept and Mapping for Rheumatic Heart Disease

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    Rheumatic heart disease is caused by group A streptococcus bacteria infecting the throat. This can lead to rheumatic fever and damage heart valves. Symptoms include fever, chest pain, swollen joints, and heart palpitations. Diagnosis involves blood tests, throat cultures, electrocardiograms, and echocardiograms. Nursing management focuses on prevention by culturing children with sore throats, hospitalizing those with rheumatic fever, administering antibiotics and aspirin, and teaching patients about follow up care and limiting activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    926 views5 pages

    Concept and Mapping For Rheumatic Heart Disease

    Uploaded by

    Ailyne A. Cleofe
    Rheumatic heart disease is caused by group A streptococcus bacteria infecting the throat. This can lead to rheumatic fever and damage heart valves. Symptoms include fever, chest pain, swollen joints, and heart palpitations. Diagnosis involves blood tests, throat cultures, electrocardiograms, and echocardiograms. Nursing management focuses on prevention by culturing children with sore throats, hospitalizing those with rheumatic fever, administering antibiotics and aspirin, and teaching patients about follow up care and limiting activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    CONCEPT AND MAPPING FOR RHEUMATIC HEART DISEASE

    SUBMITTED BY: ANULAO, MICHEAL


    CLEOFE, AILYNE A.
    SUBMITTED TO: MRS. JANET L. GADDI
    DATE: NOVEMBER 21, 2016
    RHEUMATIC HEART DISEASE

    PREDISPOSING FACTORS PRECIPITATING FACTORS


    CAUSES:
    Family History Sanitation
    STRIPTOCOCCI Poor environment
    GROUP A Reduced access to medical care

    (strep on throat will cause


    rheumatic fever, and it
    leads to rheumatic heart
    disease)

    SIGN AND SYMPTOMS:

    Fever
    Chest pain
    Small painless nodules or lumps under the skin
    Painful and tender joints often at the ankles and knees, elbow or wrist, less often at the shoulders, hips
    and feet
    Pain in one joint migrates to another joint
    Red, hot swollen joint
    Sensation of rapid cluttering or pounding heart beat ( palpitation)
    LABORATORY FINDINGS:

    High ESR
    Anemia, leukocytosis
    Elevated C-reactive protein
    ASO titre > 200 Todd units( Peak value attained at 3 weeks, then comes down to normal
    by 6 weeks)
    Anti-DNAase B test
    Throat culture- GABH streptococci
    ECG-prolonged PR interval, 2nd or 3rd degree blocks, ST depression, T inversion
    2D Echo cardiography -valve edema, mitral regurgitation, LA & LV dilatation pericardial
    effusion, decreased contractility.

    DIAGNOSIS:

    DIAGNOSIS MAY INCLUDE THE FOLLOWING:

    Physical examination- while a hurt murmur may suggest RHD, many patients with RHD
    do not have a murmur
    Medical history including evidence of past ARF or strep infection
    Chest x-ray to check enlargement of the heart or fluid on the lungs
    Electrocardiogram (ECG) to check the heart have enlarged or if there is an abnormal
    heart rhythm ( arrhythmia)
    Echocardiogram to check the heart valves for any damage or infection and assessing if
    there is heart failure. This is the most useful test for finding out RHD is present
    NURSING MANAGEMENT:

    PREVENTION:

    Children with possible throat infection would be cultured for


    strep

    HOSPITALIZATION:
    MEDICATION:
    Children with rheumatic
    fever should be Antibiotic and
    Aspirin DISCHARGE PLANNING:
    hospitalized
    Bed rest for monitoring Recovery phase occurs at
    carditis home
    4 weeks bed rest if Activity limitations
    carditis develops Antibiotic prescribed

    TEACHING:

    Reoccurrence of sore throat need for culture


    Follow up care to monitor heart function

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