Primary Nursing Diagnosis

Infection related to the causative organism (streptococci, pneumococci, staphylococci, gramnegative bacilli, fungi)

OUTCOMES. Immune status; Knowledge: Infection control; Risk control; Risk detection; Nutritional status; Treatment behavior: Illness or injury

INTERVENTIONS. Infection control; Infection protection; Medication prescribing; Nutritional management; Surveillance; Nutritional management; Infection control: Intraoperative

U PLANNING AND IMPLEMENTATION Collaborative

For persons at high risk for contracting IE, most physicians prescribe antibiotic therapy to prevent episodes of bacteremia before, during, and after invasive procedures. Procedures that are particularly associated with endocarditis are manipulation of the teeth and gums or GU and GI systems, and surgical procedures or biopsies that involve respiratory mucosa.

If the patient has developed endocarditis as a result of IV drug abuse, an addiction consultation is essential, with a possible referral to an appropriate treatment program. Surgical replacement of the infected valve is needed in those patients who have an infecting microorganism that does not respond to available antibiotic therapy and for patients who have developed infectious endocarditis in a prosthetic heart valve. (See Coronary Artery Disease, p. 248, for a full discussion of the collaborative and independent management of a patient following open heart surgery.)

Your Heart and Nutrition

Your Heart and Nutrition

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