Myocarditis is inflammation of the heart muscle.
Symptoms
There may be no symptoms. Symptoms may be similar to the flu. If symptoms occur, they may include:
- Abnormal heartbeat
- Chest pain that may resemble a heart attack
- Fatigue
- Fever and other signs of infection including headache, muscle aches, sore throat, diarrhea, or rashes
- Joint pain or swelling
- Leg swelling
- Shortness of breath
- Fainting, often related to irregular heart rhythms
- Low urine output
Nursing Diagnosis for Myocarditis
Pain related to inflammation of the myocardium, systemic effects of infection, tissue ischemia.
Goal:
No pain or controlled.
Expected Outcome:
- Pain is reduced or lost
- The client seemed calm.
Nursing Intervention and Rational for Myocarditis
- Assess complaints of chest pain, observe the factors that aggravate. Notice the nonverbal cues of discomfort, for example, lay in silence / restlessness, muscle tension, crying.
Rational: the pain is worse on inspiration, move or lie down and relieved by sitting up straight / bent. - Provide a quiet environment and comfort measures such as: change of position, rub his back, use warm compresses / cold, emotional support.
Rationale: These measures can reduce the physical and emotional discomfort of the patient. - Provide appropriate entertainment activities.
Rational: to redirect attention, provide distraction in the level of individual activity. - Collaboration provision of drugs as indicated (nonsteroidal agents: aspirin, Indocin; antipyretic; steroids).
Rational: to relieve pain, reduce the inflammatory response, reduce fever; steroids given for more severe symptoms. - Collaboration supplemental oxygen administration as indicated.
Rational: maximizing the availability of oxygen to reduce the heart's workload.
Nursing Assessment for Myocarditis
Nanda Nursing Diagnosis for Myocarditis