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what is the answer quansar
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© Clindamycin
she has intermediate risk for mitral stenosis with grade III/VI diastolic murmur. she is allergic to penicillin. so thinking of ...C Clindamycin
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may23,
the patient has a h/o IE, therefore is high risk, regardless of type of current valve disease.
clindamycine will be a good choice, if it was a dental procedure in a pateint who recently used penicillin or is allergic to it.
I know quansar said the answer is not A, but if you read the guidelines carefully (posted before), it is the only right choice.
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cemmsk is correct in explanation. The answer is EE
This patient does not require endocarditis prophylaxis. Although both the murmur of mitral stenosis and the history of previous endocarditis would be indications for prophylaxis, it is not necessary to use prophylaxis in generally sterile surgical procedures. Preparation of the skin for surgery involves a local sterilization method that eliminates most organisms. This is done for catheterization procedures as well. Surgery and catheterization procedures do not shower the body with bacteria.
You are only at increased risk for endocarditis if you have both a significant underlying cardiac defect, as well as undergoing a procedure that causes a bacteremia.
Procedures that do not need prophylaxis are minor dental procedures, such as filling cavities and routine teeth cleaning; flexible endoscopies (neither bronchoscopy nor colonoscopy); vaginal delivery or caesarean section; cardiac catheterization; or pacemaker placement.
