nurse's notes

MYOCARDITIS - in an inflammation of the myocardium

Signs and Symptoms

• fatique
  
• dyspnea- difficulty of breathing
• palpitations
• occasional pre cordial discomfort

Findings to a patient with myocardium

• cardiac murmur- heart sounds like fluid passing an obstruction due to the dysfuntion of the papillary muscles of the heart
• enlargement of the heart
• pericardial friction
• fever with tachycardia-
  
• gallop rhythm
• possible development of congestive heart failure

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Nursing Cares:

• Monitoring vital Signs , heart sounds pulse, respirations and blood pressure record and report further abnormality
• Rmeasure and record daily fluid output and input
• record weight daily
  
• check for any presence of edema on extremities
• Carry out medications accurately and observed for toxic effect of digitalis
  
• elevate head for if patient request
• observed for development of dysrhythmias
  
• resuscitation equipment is always ready
  
• emotional support to patient to prevent anxiety
• proper approach to answer her question
  

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