Midterm Exam: NR571 / NR 571 (Latest Update 2024 / 2025) Complex Diagnosis and Management in Acute Care Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Diagnosis of _____ should be considered an excluded in all patients with ________________ and ____________...
Midterm Exam: NR571 / NR 571
(Latest Update ) Complex
Diagnosis and Management in Acute
Care Practicum | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Diagnosis of _____ should be considered an excluded in all patients with
________________ and ________________.
Answer:
IE
Heart murmur
Fever of unknown origin
Question:
Diagnostic testing for IE
Answer:
Echocardiogram
Chest x-ray
,Labs: CBC, CMP, CRP/ESR, blood cultures
Serum titers for suspected infectious etiologies, as well as testing for TB
exposure to narrow differential
Question:
Patient was suspected infectious. endocarditis should be treated as having
endocarditis until.....
Answer:
.... The diagnosis can be excluded.
Question:
Ways to definitively diagnose infectious endocarditis
Answer:
-demonstrating microorganisms by culture or histology and vegetations
removed via surgery or drainage of intra-cardial abscess
-Modified Duke Criteria for the Diagnosis of Infective Endocarditis**
**gold standard diagnostic criteria
Question:
Modified Duke Criteria for the Diagnosis of Infective Endocarditis
Answer:
A clinical diagnosis can be made with documentation of one of the following
(2 major criteria, 1 major criterion, and 3 minor criteria; or 5 minor criteria):
,Major criteria :
-2 blood cultures (+) for positive organism out of at least 3 separate blood
cultures drawn from 3 separate sites within 1 hr
-Blood cultures persistently positive for an organism from cultures, drawn
more than 12 hrs apart
-Echo positive for IE, documented by an oscillating intracardiac mass on a
valve or supporting structure in the path of regurgitant jets, or an implanted
material in the absence of an alternative anatomical explanation
-myocardial abscess
-Development of partial dehiscence of a prosthetic valve
-New onset valvular regurgitation
Minor Criteria:
-predisposing heart condition or IV drug use
-fever of 38°C (100.4°F) or higher
-vascular phenomenon, including major arterial emboli, septic pulmonary
infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival
hemorrhage, or Janeway lesions
-immunological phenomena such as glomerulonephritis, Osler nodes, Roth
spots, and rheumatoid factor
-positive blood culture results not meeting major criteria or serologic
evidence of active infection with an organism consistent with IE
-echocardiogram results consistent with IE but not meeting "major"
echocardiographic
, Question:
Consult for infectious endocarditis
Answer:
Cardiology and infectious disease
Question:
Treating infective endocarditis in the critically ill patient
Answer:
A minimum of three cultures from different venipuncture sites should be
drawn over one hour before starting starting empiric therapy
Question:
Treating suspected infective endocarditis in non-critically ill patients
Answer:
Antibiotic initiation can be delayed until the results of blood cultures and
echocardiogram are available
Question:
Empiric Antibiotic regimen for infective endocarditis
Answer:
Vancomycin
or
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