28 February 2012

What is Myocarditis?Nursing Care Diagnosis and Intervention

What is Myocarditis?
Myocarditis is an inflammation of the heart muscle or myocardium. In general, myocarditis caused by infectious diseases, but can be as a result of allergic reactions to drugs and toxic effects of chemicals radiation.

Symptoms of Myocarditis
  • Malaise
  • Rash
  • Fever
  • Variable symptom severity
  • Chest pain
  • Arrhythmia
  • Breathlessness
  • Acute heart failure - see also symptoms of heart failure
  • Eosinophilia
  • Chest discomfort
  • Heart palpitations
  • Heartbeat irregularity
  • Abnormal heart electrical activity test results
  • Increased heart enzymes
  • Enlarged heart
  • Increased heart rate
Nursing Diagnosis of Myocarditis Client
  • Risk for Infection
  • Ineffective Peripheral Tissue Perfusion
  • Activity Intolerance
  • Acute Pain
  • Risk of Decreased Cardiac Output
  • Knowledge Deficit
Nursing Intervention Myocarditis client
Temporarily limit the patient’s activities to decrease stress on the heart.
• Provide bedside commode.
• Monitor for:
• Difficulty breathing (dyspnea) because fluid overload.
• Heart rate >100 beats per minute (tachycardia) because infection or inflammation
may increase the heart rate.
• No competitive sports.
• Return to normal activities slowly once physician approves.

Medical-Surgical Nursing Demystified