Endocarditis vs Myocarditis

FILL IN THE BLANKS GAME

A 65-year-old male with a history of hypertension, mitral valve prolapse, and was recently discharged from a cystoscopy. Presenting symptoms; fever (101.2), chills, fatigue, petechiae on lips, painful red/purple lesions on fingertips, new systolic heart murmur. What are the patients risk factors?

Cystoscopy

IV Drug User

Male Patient

Cystoscopy

A patient with a history of infective endocarditis reports to the emergency department with complaints of fatigue, shortness of breath, low grade fevers, and a mild cough (non productive). What diagnostic examination is critical for this patient at this time?

Swallow Study

transesophageal echocardiogram

Brain MRI

transesophageal echocardiogram

FILL IN THE BLANKS GAME

treat the patients anxiety

As the nurse, when managing a patient with myocarditis what interventions would promote cardiac output improvement and decrease cardiac workload?

Strict bedrest

Implement a low fat diet

treat the patients anxiety

A 25-year-old male with no significant past medical history presents to the emergency department seven days after a viral infection. the patient complains of Sudden onset of chest pain, shortness of breath, fatigue, and low grade fevers. His laboratory findings are inconclusive with mild leukocytosis. What would the nurse anticpate the physician to order for this patient

Chest XR

Cardiac MRI

administer Digoxin

Cardiac MRI

Recent procedures such as catherizations or cystoscopies can increase the introduction of bacteria to the heart.

Cystoscopy

Transesophageal Echocardiogram (TEE)

TEE can help evaluate heart valves, detect embolic masses, assess valve function, and predict embolic risk

INCORRECT

a swallow study is not indicated in this scenario

INCORRECT

A male patient does not increase his risk factors

INCORRECT

Although IV drug use is a risk factor, no where in the case study did it state that in his history.

INCORRECT

A brain MRI is not indicated in this scenario as it will not give us diagnostic data for the situation

Correct

the diagnosis of myocarditis can be stressful, as the nurse we need to consider the anxiety and fear that the patient may be experiencing. Assess their anxiety levels and advocate measures to decrease anxiety through therapy and or medication.

INCORRECT

You do not want to have this patient on strict bed rest! The nurse promote gradual exercise with spacing the activites and rest periods.

INCORRECT

Although a low fat diet can be beneficial but in the case of myocarditis stimulants such as caffeinated beverages should be avoided.

CORRECT

The physician would order a cardiac MRI to evaluate the heart's size, shape and structure. Furthermore, if there is fluid that could possibly biopsied for further evalution such as endomyocardial biopsy.

INCORRECT

A chest XR is not detailed enough to make a diagnosis in this case.

INCORRECT

Administering digoxin in this scenario is incorrect as myocarditis can predipose the patient to dysrhythmias