Pediatric Nursing Question ( help please!)

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Do children with acquired and congenital defects have to worry about endocarditis for the rest of their lives and how does the nurse teach the parents to prevent it.

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What does your pediatrics textbook say about those two homework questions? Or your med/surg book in the section on cardiac abnormalities?

What have you learned when you looked in your resources, by which I do not mean "Go to AN, ask someone to do my homework for me, and hit Send"? We're happy to help you understand what you find but you have to tell us what that is, because we do not do your homework for you.

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all i know is that children with heart defects or had rheumatic fever or endocarditis will need to have prophylaxis before and after medical or dental procedures... i think thats the major thing.

by the way, this isnt homework. its a supplementary thing. thats not nice of you to just assume I'm making other people do my homework, just because I posted a legit question.:(

thank you very much.

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My thinking is there is a chance they may get endocarditis especially if the congenital disease involved repair of a valve defect cause one of the complications of such repairs is rheumatic fever/rheumatic heart disease. Instruct the parents to keep scheduled dental visits and to inform the dentist of the cardiac problem so that prophylactic antibiotics can be prescribed.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
all i know is that children with heart defects or had rheumatic fever or endocarditis will need to have prophylaxis before and after medical or dental procedures... i think thats the major thing.

by the way, this isnt homework. its a supplementary thing. thats not nice of you to just assume I'm making other people do my homework, just because I posted a legit question.:(

thank you very much.

Well....this is the internet and we have no idea what you are looking for....you could be looking for medical advice. That we don't give as per the Terms of Service. You could be looking for others to do your homework. There is no way of knowing without asking.

Allnurses is a website for nurses who wish to preserve the integrity and professionalism of the profession. We also want ALL students to be successful and safe professionals. I am sure you understand that we have had people come here while taking a test and ask for answers. I have had people come here looking while taking a pre-employment exam thinking we are Ask Jeeves...and we are not.

Our goal is always to help you become the BEST nurse you can be. Remember allnurses are full of nurses who have learned to not accept anything at face value and have learned to get all the information possible before we can help you.

:)

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FIRST POST "WHOOOP"

I'm in my peds rotation right now and my pt today had s/x to correct an ASD and cleft mitral valve (congenital heart disease) and while I was explaining the discharge instructions this topic came up. My understanding is that they will have a greater chance of developing bacterial endocarditis throughout their life because of permanent and slightly abnormal changes to the valve after the surgery (clotting, scarring, etc). Teaching wise I would lean toward addressing the knowledge deficit regarding endocarditis, it's causes, signs/symptoms, and what the patient/family should do if they notice these signs/symptoms.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
FIRST POST "WHOOOP"

I'm in my peds rotation right now and my pt today had s/x to correct an ASD and cleft mitral valve (congenital heart disease) and while I was explaining the discharge instructions this topic came up. My understanding is that they will have a greater chance of developing bacterial endocarditis throughout their life because of permanent and slightly abnormal changes to the valve after the surgery (clotting, scarring, etc). Teaching wise I would lean toward addressing the knowledge deficit regarding endocarditis, it's causes, signs/symptoms, and what the patient/family should do if they notice these signs/symptoms.

That is very nice of you...however we ask that ALL who ask for help here show what their research has shown them and what they have learned....we will then jump right in and lead you to the information you seek. Research is an important skill that all nurses use on a daily basis. We promote assisting of all who ask for help AFTER they have researched the question themselves. Many of us are instructors and wish to help students become the best nurse they can be.

Show me the effort and I will bend over backwards to lead students to the information he/she seeks.

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That is very nice of you...however we ask that ALL who ask for help here show what their research has shown them and what they have learned....we will then jump right in and lead you to the information you seek. Research is an important skill that all nurses use on a daily basis. We promote assisting of all who ask for help AFTER they have researched the question themselves. Many of us are instructors and wish to help students become the best nurse they can be.

Show me the effort and I will bend over backwards to lead students to the information he/she seeks.

Ah, understood. Apologies.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Ah, understood. Apologies.
:up: No problem...:)
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My thinking is there is a chance they may get endocarditis especially if the congenital disease involved repair of a valve defect cause one of the complications of such repairs is rheumatic fever/rheumatic heart disease. Instruct the parents to keep scheduled dental visits and to inform the dentist of the cardiac problem so that prophylactic antibiotics can be prescribed.

Umm, rheumatic fever may cause valvular injury which may require surgery and predisposes to endocarditis*, but rheumatic fever/heart disease surely isn't a complication of surgery.

by the way, this isnt homework. its a supplementary thing. thats not nice of you to just assume I'm making other people do my homework, just because I posted a legit question.frown.png

As my friend and colleague Esme points out, we get a LOT of students who think this is Ask Jeeves or DoMyHomeworkForMe.com. I stand by her opinion that students should learn how to do research in reputable textbooks, such as they all have; this skill does not become obsolete when your NCLEX results come in.

*(and this is vanishingly rare in this country now that antibiotics are so available-- we old timers used to see mitral valve replacements all the time for older people who had RF as children, several a week in our CVSICU; few nowadays)

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all i know is that children with heart defects or had rheumatic fever or endocarditis will need to have prophylaxis before and after medical or dental procedures... i think thats the major thing.
Wrong. Spend some time with Google to read the current practice in this area... at least in the US.

by the way, this isnt homework. its a supplementary thing. thats not nice of you to just assume I'm making other people do my homework, just because I posted a legit question.:(

Just FYI... if you're hoping to get constructive feedback, GrnTea (and Esme) are about the two worst people here to whom you should be copping an attitude because they are both (a) so incredibly knowledgeable, and (b) so willing to post thorough and detailed answers.

And they're both soooo much nicer than some of the grumpier members... like me.

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