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This Concept Map, created with IHMC CmapTools, has information related to: IE, Infective Endocarditis pathophys A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi., Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) tests ordered CBC- serial Inc WBC, ESR, C reactive protiens, A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi. possibly causing New or worsened murmer, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) meds ordered antibiotics 8 weeks PICC line?, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) nursing dx activity intolerance, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) nursing dx Knowledge deficit, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) Therapies ordered Valve replacement- when nothing else works, A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi. leading to the following s/s Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots), Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) tests ordered Blood cultures. 30 minutes apart, 2x, 2 different sites, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) tests ordered CXR-may see l. ventricular hypertrophy., Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) tests ordered Transesophageal Echocardiography (Conscious sedation-NPO 4-6h), A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi. possibly causing emboli, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) Therapies ordered abx prophylaxis, Fever, fatigue, flu like symptoms, arthralgia, anorexia, wt loss, HA splinnter hemorrhages, petechiae. oslers nodes on fing/toes janeway lesions (red spots on palms and soles) & Roths spots (occular spots) tests ordered ECG, A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi. possibly causing Valvular damage, A microbial infection of the endocardium (contiguous w/ the valves). May be acute or subacute. Vegetations form-can break off. Microbes may be strep, staph, virus or fungi. possibly causing heart failure