Replacement of Valves also requires open heart surgery and cardiac bypass. Return to top Inflammations and Infections 1. Interventions include rest, I.V. antibiotics for 4 to 6 weeks or surgery for complications Teaching includes avoidance of irrigation or flossing when brushing teeth, manifestations of endocarditis and heart failure and when to call physician. Pts. must remind health care providers to prescribe prophylactic antibiotics before any invasive procedure. There may be pleural effusion with acute pericarditis.
Uremic pericarditis is treated with hemodialysis.
Surgery is done for chronic constrictive pericarditis to remove the thickened membrane that forms. In acute, sometimes a pericardial window must be done to drain excess fluid from the pericardial sac. Hypertension increases afterload. ST depression may be seen with ischemia. I.V. titrated to control chest pain, reduce preload and afterload, and dilate the coronary arteries.