Rheumatic Fever
What Went Wrong?
Rheumatic fever (RF) is an inflammatory disease that occurs after an infection
with group Ab-hemolytic streptococcalpharyngitis. The illness is self-limited
and involves
Joints, skin, brain, serous surfaces, and heart.
Cardiac valve damage is the most significant complication.
Signs and Symptoms
Lesions called Aschoff bodies
Carditis involving the endocardium , pericardium, and myocardium
Apical systolic murmur
Polyarthritis
Erythema marginatum, a clear rash often over trunk and proximal portion
of extremities
Subcutaneous nodules
Chorea
Test Results
There is no single definitive laboratory test to diagnose RF.
Clinical and laboratory findings are considered along with evidence of
a recent streptococcal infection.
Treatment
Ten-day course of antibiotic therapy
Salicylates to control the inflammatory process
Nursing Interventions
Promote compliance with the medication regimen.
Support child and family and return to recovery.
Prevent reoccurrence of the illness.
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(^122) Pediatric Nursing Demystified
FINAL CHECKUP
- Which of the following is a common sign of digoxin toxicity?
a. Seizures
b. Vomiting
c. Bradypnea
d. Tachycardia
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