Nursing Intervention for Myocarditis

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
Other symptoms that may occur with this disease:
  • 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
  1. 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.
  2. 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.
  3. Provide appropriate entertainment activities.
    Rational: to redirect attention, provide distraction in the level of individual activity.
  4. 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.
  5. 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