A nurse is working with children and adolescents who have a known heart problem
The nurse is aware that when a child undergoes a procedure, the prevention of infectious endocarditis will involve which of the following interventions as a prophylaxis? a. gamma globulin 10 cubic centimeters in each of two deep muscle sites at least 24 hours before the procedure
b. antibiotics, with the most frequent being penicillin or clindamycin for those with penicillin allergies
c. intravenous glucose solution
d. aspirin or Coumadin
B
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A Incorrect. Gamma globulin 10 cc. in each of two deep muscle sites at least 24 hours before the procedure is not the recommended intervention as a prophylaxis.
B Correct. The American Heart Association has set forth guidelines for antibiotic prophylaxis for prevention of infectious endocarditis in children with congenital heart disease prior to procedures associated with endocarditis. Antibiotics, with the most frequent being penicillin or clindamycin for those with penicillin allergies is the recommended prophylaxis.
C Incorrect. Intravenous glucose solution is not the recommended intervention as a prophylaxis.
D Incorrect. Aspirin or Coumadin are not the recommended interventions as prophylaxis.
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