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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Rheumatic Heart Disease III: Medical Management01:21

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Drug Accumulation During Multiple Dosing: Intermittent IV Infusions01:24

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Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
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Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...

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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Infusion therapies in rheumatic practice.

O Gluck1, M Maricic

  • 1Arizona Rheumatology Center, University of Arizona, Tucson; Southern Arizona VA Health Care System.

Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

Intravenous (IV) therapies are increasingly used in rheumatology for inflammatory and bone disorders. This review covers current IV treatments, their uses, side effects, and administration requirements for rheumatologists.

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Area of Science:

  • Rheumatology
  • Immunology
  • Pharmacology

Background:

  • Infusion therapies have a long history in rheumatology.
  • Recent advancements and approvals are expanding their use.
  • Intravenous (IV) treatments are crucial for inflammatory rheumatic and metabolic bone disorders.

Purpose of the Study:

  • To review current IV therapies used by rheumatologists.
  • To discuss indications, adverse events, and administration requirements.
  • To highlight the impact of new treatments on rheumatology practice.

Main Methods:

  • Literature review of current IV therapies in rheumatology.
  • Analysis of indications, adverse events, and screening protocols.
  • Discussion of specific treatments including pulse corticosteroids, infliximab, cyclophosphamide, IV gammaglobulin, and pamidronate.

Main Results:

  • Current IV therapies include pulse corticosteroids, infliximab, cyclophosphamide, IV gammaglobulin, and pamidronate.
  • Each therapy has specific indications and potential adverse events.
  • Standardized screening (CBC, allergies, renal, liver, cardiac function) is recommended.
  • Availability of anaphylaxis treatment supplies is essential.

Conclusions:

  • The landscape of infusion therapies in rheumatology is evolving rapidly.
  • Rheumatologists must be aware of the indications, risks, and management of these potent treatments.
  • Proper patient screening and preparedness for adverse events are critical for safe and effective IV therapy administration.