PRIORITIZED NURSING PROBLEMS FOR ACUTE RHEUMATIC FEVER
NURSING NURSING INTERVENTIONS
DIAGNOSIS
Risk For Infection INDEPENDENT:
Related To Chronic
Recurrence of Assess parents’ knowledge and
Disease skills in the administration of
prescribed antimicrobials; daily oral
administration or monthly
intramuscular injections
Monitor for chest pain, shortness of
breath, fatigue, cough, night sweats,
friction rub, gallop during the acute
stage of the disease
Notify the physician immediately for
any upper respiratory infections,
elevated temperature, joint pain, or
non-compliance to antibiotic therapy.
DEPENDENT:
Administer antibiotic therapy during
the acute phase of disease as
prescribed.
INTERDEPENDENT:
Instruct in the long-term antibiotic
regimen, the need for protection prior
dental work or any invasive
procedure, and inform of importance
to prevent recurrence.
RATIONALE
Providing long-term antibiotic therapy (as
long as 5 years) as a preventive measure
may be challenging.
Signs and symptoms of carditis, which may
result in endocarditis causing vegetation that
becomes fibrous at the valve areas that is at
increased risk of recurrent infections.
May indicate recurrence of the disease or
need to change or adjust medication.
Inhibits cell wall synthesis of
microorganisms, destroying the causative
pathogen.
Therapy begins after the acute phase and
medical supervision is needed for life as
rheumatic fever may recur; a high
percentage of children who incur the disease
have cardiac complications later in life.
References;
https://www.google.com/amp/s/nurseslabs.co
m/acute-rheumatic-fever-nursing-care-plans/
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