Home schooling may be needed during the recovery

Home schooling may be needed during the recovery period.
Nursing care also focuses on prevention of endocarditis.
Good oral hygiene and regular dental care are important pre-
ventive measures. Stress the importance of telling future health-
care providers, including dentists and surgeons, about the
child’s infective endocarditis history so prophylactic antibiotics
can be given for invasive dental and respiratory procedures.
Acute Rheumatic Fever
Acute rheumatic fever (ARF) is an inflammatory disorder of
connective tissue that results from an autoimmune response
to some strains of group A beta-hemolytic streptococci (GAS).
This disorder may cause long-term damage to heart valves, and
affects the joints, brain, and skin tissues. While ARF is a signifi-
cant health problem in developing countries, the incidence is
very low in the United States and developed countries because
GAS infections are treated earlier.
Only a small number of individuals infected with the strain
of GAS that causes pharyngitis develop ARF, but specific sero-
types have not been identified (AAP, 2015, p. 733). It occurs
most commonly in children between 5 and 15 years old. A
genetic susceptibility to the disease may exist, such as in Pacific
Islanders, predisposing children to the disorder. An estimated
60% of patients with ARF develop rheumatic heart disease
(Chang, 2012).
One to 3 weeks after an untreated streptococcal infection,
the major or hallmark signs of ARF may occur. Carditis involv-
ing the mitral or aortic valve may be detected by the develop-
ment of a new murmur. Chest pain may be caused by pericardial
inflammation. Two or more large joints become inflamed with
pain, swelling, tenderness, erythema, and heat. The signs may
migrate from joint to joint (migratory polyarthritis). Subcutane-
ous nodules may be palpated over bony prominences and along
extensor tendons. A nonpruritic skin rash (erythema margin-
atum) with pink macules and blanching in the middle of the
lesions appears on the trunk, but never on the face and hands.
If the central nervous system is affected, Sydenham chorea
Medications Used for: Infective Endocarditis Prophylaxis for Dental and Invasive
Respiratory Procedures
ANTIBIOTIC RECOMMENDATIONS NURSING MANAGEMENT
Coqzkeknnkp"hqt"qtcn"wug
Corkeknnkp"hqt"KO"qt"KX"wug
If allergic to penicillin:
Egrjcngzkp
Enkpfco{ekp
C|kvjtqo{ekp
Enctkvjtqo{ekp
" " Ikxg"3"nctig"fqug"5282"okp"dghqtg"rtqegfwtgu."
qt"wr"vq"4"jt"chvgt"vjg"rtqegfwtg"kh"rtgrtqegfwtg"
dose is missed.
" " Vgcej"rctgpvu"cpf"vjg"ejknf"vq"mggr"cv"
ngcuv"3"fqug"kp"vjg"jqog"hqt"fgpvcn"xkukvu"qt"
emergencies.
" " Jcxg"rctgpvu"kphqto"gcej"jgcnvjectg"rtqxkfgt"qh"
vjg"ejknfu"pggf"hqt"rtqrj{nczku0
Uqwteg<"Fcvc"htqo"Cogtkecp"Cecfgo{"qh"Rgfkcvtkeu"*CCR+0"*4237+0" Red book: 2015 report of the Committee on Infectious Diseases "*52vj"
gf0."r0";93+0"Gnm"Itqxg"Xknncig."KN<"Cwvjqt="Ucdg."O0"C0."Ujtguvjc."P0"M0."("Ogpqp."X0"*4235+0"Eqpvgorqtct{"ftwi"vtgcvogpv"qh"kphgevkxg"
endocarditis. American Journal of Cardiovascular Drugs, 13 ."47347:="Rctm."O0"M0"*4236+0" Pediatric cardiology for practitioners "*8vj"gf0."
r0"56;+0"Rjkncfgnrjkc<"Gnugxkgt"Ucwpfgtu0