A self limiting illness that involves joints, skin, brain, serious surfaces, and the heart. This occurs after an infection of group A beta-hemolytic streptococcal pharyngitis.
What is Rheumatic Fever?
100
Monthly IM injections of PCN G for children with acute rheumatic fever
What is how to prophylactically treat rheumatic fever from reoccurring?
100
Difficulty swallowing, a sore throat without cold symptoms, and a red rash that starts at the head and neck.
What is when someone should see a doctor?
100
Narrowing of the valve causing decreased blood flow
What is valve stenosis?
100
Acute systemic vasculitis of unknown cause
What is the definition of Kawasaki disease?
200
As soon as indications of strept throat arise, seek treatment immediately (especially for children ages 5-15). If you test positive for strept, finish the FULL course of prescribed antibiotics
What is how can Rheumatic Heart disease be prevented?
200
Penicillin
What is the treatment for rheumatic fever?
200
Fever, painful and tender joints, chest pain, heart murmur, fatigue, flat or slightly raised painless rash with a ragged edge, jerky uncontrollable body movements and outbursts of unusual behavior such as crying or inappropriate laughing.
What is signs and symptoms of rheumatic fever?
200
Abnormal heart rhythm such as atrial fibrillation is a complication.
What is a complication of both Rheumatic Fever and Kawasaki disease?
200
Begins with abrupt onset of high fever that is unresponsive to antipyretics or antibiotics. Symptoms come and go but the fever is persistent. Child is very irritable.
What is the acute phase of Kawasaki disease?
300
Late school-age children and adolescents
What is the most common age group when rheumatic fever occurs?
300
Encourage compliance with drug regimens
Facilitate recovery from illness
Provide emotional support
Prevent the disease
Provide rest and nutrition
What is the objectives of nursing care management for rheumatic fever?
300
Acute phase, subacute phase, and convalescent phase.
What is the three phases of Kawasaki disease?
300
Allows blood to flow in the opposite direction.
What is valve regurgitation?
300
Usually the cause of death in Kawasaki disease, which is rare
What is myocardial ischemia?
400
Modified Jones criteria (ie. chorea, arthralgia, fever) or testing for streptococcal antibodies
What is how is the diagnosis of rheumatic heart disease made?
400
Monitor cardiac status
I&O, daily weights
Assess frequently for signs of heart failure
Administer IVGG (IV gamma globulin)
Aspirin to control fever
Majority focus is symptomatic relief
What is nursing management of Kawasaki disease?
400
Fever for up to 10 days, conjunctivitis, crusted and fissured lips, strawberry tongue, swelling and desquamation of hands and feet, arthritis, tachycardia, and heart murmur/gallop.
What are signs and symptoms of Kawasaki disease?
400
Overall inflammation to the blood vessels and the heart muscle.
What is a complication of Kawasaki disease?
400
Child must have fever for more than 5 days along with four of five clinical criteria (changes in extremities such as edema, erythema and peeling, bacterial conjunctival inflammation, changes in oral mucous membranes, polymorphous rash and cervical lymphadenopathy).
What is diagnostic criteria for Kawasaki disease?
500
Screening school-age children for sore throats caused by GABHS
What is preventative measure for rheumatic fever?
500
Family history, type of strep bacteria, and environmental factors
What is risk factors for rheumatic fever?
500
Manifestation of rheumatic fever involves involuntary, sudden movements that may be mistaken for nervousness, clumsiness, behavioral changes, inattentiveness, and learning disability. May occur months after illness.
What is chorea?
500
The valve that most commonly has problems in rheumatic fever.
What is the mitral valve?
500
Medication that reduces the incidence of coronary artery abnormalities when given within the first 10 days of the illness (ideally within the first 7)