Myocarditis is an inflammation of the heart muscle wall caused by infection or other causes to which is unknown (idiopathic) (Dorland, 2002).
The cause of the inflammation of the myocardium:
- viral infections
- mushrooms
- bacterium
- parasite
- protozoa
Signs and Symptoms:
- weary
- dyspnea
- irregular heartbeat
- fever
- shiver
- anorexia
- chest pain
Acute Pain related to the imbalance of blood and oxygen supply to the myocardium needs secondary to a decrease in blood supply to the myocardium, increased production of lactic acid.
Goal:
No complaints and impairment of chest pain response.
Expected outcomes:
- Subjectively: the client states chest pain reduction.
- Objectively: vital signs within normal limits, face relaxed, not decreased peripheral perfusion, urine more than 600 ml / day.
1) Record the pain characteristics, location, intensity, duration and deployment.
Rational: Variations in appearance and behavior of the client because the pain occurs as the assessment findings. Encourage the client to report pain immediately.
Rational: Severe pain can cause cardiogenic shock impacting on sudden death.
2) Perform nursing pain management by encouraging clients to rest.
Rational: Rest will decrease the oxygen demand of peripheral tissues thereby decreasing myocardial needs and will increase blood supply and oxygen to the myocardium that require oxygen to reduce ischemia.
3. Collaboration pharmacological antianginal therapy.
Rational: antianginal drugs aimed to increase blood flow either by increasing the oxygen supply or by reducing myocardial oxygen requirements.