You are . . . an EMT employed in the Emergency Department at Fulwood Medical Center....

You are

. . . an EMT employed in the Emergency Department at Fulwood Medical Center.

Your patient is

. . . Barbara Rotelli, a 17-year-old woman, who presents with pyrexia (Links to an external site.) and shaking chills. On her medical record, you read that her physical examination reveals splinter hemorrhages(Links to an external site.) under her fingernails and a heart murmur (Links to an external site.). There is blood in her urine. She had dental (Links to an external site.) surgery four days ago. A provisionaldiagnosis (Links to an external site.) is made of acute endocarditis (Links to an external site.). You are to prepare her for admission to intensive care.

Write a section about the illness and the steps to prepare her for hospitalization and intensive care

Solutions

Expert Solution

Patient is diagnosed with acute endocarditis .

DESCRIPTION ABOUT ILLNESS:

Invective endocarditis occurs when bacteria enter into the bloodstream and previously attached to the injured heart valves.

Acute endocarditis usually begin suddenly with fever, fast heart rate, rapid and extensive heart valve damage.

RISK FACTOR -----

People at highest risk of endocarditis who have

Artificial heart valve
Congenital heart disease
Heart valve disease

CAUSE ----

Endocarditis occur when bacteria enter blood stream and travel to heart and lodge on abnormal heart valves or damaged heart tissue.

SYMPTOMS----

Fevers
Chest pain
Weakness
Blood in urine
Chills
Fatigue
Cough
Nausea and vomiting

DIAGNOSIS----

Firstly describe about symptoms
Physical examination is done
Check heart sound for murmur , it is present with infective endocarditis.
Doctor may also check fever and feel for enlarged spleen by pressing on left upper abdomen.
Complete blood count
Echo cardiogram

TREATMENT----

Aqueous penicillin or ceftriaxone are used for infection causd by streptococci.

STEP TO PREPARE PATIENT FOR HOSPITALIZATION AND INTENSIVE CARE UNIT :

Firstly those symptoms (fever,chest pain,weakness )is occur .patient is feel .
Than come to doctor in hospital
Patient describe symptoms to the doctor
Doctor take a history and done physical examination.
In physical examination doctor check heart sound and check murmur.
Doctor advice to the patient for hospitalization.
After admitted to the ward doctor visit to the patient.
Doctor observe symptoms and done whole physical examination.
After that doctor advice patient to done echo cardiogram.
Than it is diagnosed acute endocarditis.
When patient condition is worsend with acute endocarditis. ,require ventilation and life support or any cardiac surgery .
Than patient transfer to the intensive care unit.

Nightingale answered 1 year ago

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