Cardiomyopathy VI: Nursing Management

Nursing management of cardiomyopathy begins with assessing the patient's health history, including any family history of cardiomyopathy.

Assess for signs of heart failure, such as jugular venous distention.

Evaluate essential diagnostic tests, such as an echocardiogram, to determine cardiac structure and function.

Based on the assessment, the nurse formulates the following nursing diagnoses:

Decreased cardiac output related to structural changes in the heart, as evidenced by dyspnea, fatigue, and edema.

Activity intolerance related to decreased cardiac output, as evidenced by fatigue and dyspnea upon exertion.

The nurse, in collaboration with the patient, sets goals to enhance cardiac output and activity tolerance. Next, the nurse implements the following interventions:

Maintaining the patient on bed rest in a semi-Fowler's position to reduce cardiac workload and improve breathing.

Monitoring vital signs and administering oxygen.

Educating the patient on the importance of a low-sodium diet to prevent fluid retention, daily weight monitoring, and medication adherence.

Lastly, the nurse modifies the care plan based on the patient's progress.