Myocarditis IV: Nursing Management

Nursing management of myocarditis starts with a comprehensive assessment of the patient's medical history, including recent infections, autoimmune disorders, travel history, and exposure to toxins or drugs.

During the physical examination, the nurse should monitor vital signs, listen for abnormal heart sounds like murmurs, gallops, or friction rubs, and check for signs of fluid overload.

Based on the assessment, the nurse formulates diagnoses such as decreased cardiac output related to myocardial inflammation, as evidenced by fatigue, dyspnea, and tachycardia.

Another diagnosis is impaired gas exchange related to pulmonary congestion, as evidenced by decreased oxygen saturation and crackles on auscultation.

Next, the nurse implements several interventions:

Positioning the patient in a semi-Fowler's position.

Administering prescribed medications, such as ACE inhibitors, beta-blockers, or diuretics.

Monitoring fluid intake and output to prevent fluid overload.

Encouraging rest to decrease myocardial oxygen demand.

Finally, the nurse adjusts the care plan according to the patient's response to the interventions.