Published Mar 30, 2010
pinkpop44
1 Post
hi, my patient has cardiomyopathy, but i really dont know how to take care of him with this. i tried searching google, but nothing helpful comes up about the plan of care of someone who has cardiomyopathy
so please, could someone help me? thank you
Blackheartednurse
1,216 Posts
Cardiomyopathy is a chronic,progressive disease...you have to keeep assessing your patient (do they have an active chest pain going on? What meds they are on? What is their heart rate and BP?
webmansx, ASN, RN
161 Posts
wait...didn't you just post about being fired?!?
nursej22, MSN, RN
4,432 Posts
First, you need to understand what cardiomyopathy is, so I suggest you brush up on the pathophys. Next, what is the cause, it is usually defined as ischemic or non-ischemic? Is there an infectious component, connective tissue disorder, injury from toxins or radiation?
These patients are usually dealing with some degree of heart failure, so cardiac output and oxygenation are huge, as well as fluid and electrolyte balance. Exercise tolerance is usually affected. Do they have an implanted device or need one? Dysrrhythmias? They will likely be on multiple meds so they might have a knowledge deficit.
Good Luck!
Virgo_RN, BSN, RN
3,543 Posts
Are you a student, pinkpop? You can get direction and assistance with care planning in the "Students" section of this website.
meadow85
168 Posts
At the top of my head: monitor vital signs (HR, BP, RR, 02), monitor for dysrhythmias, head to toe assessment to monitor for adequate perfusion and/or congestion (JVP, lung fields, heart sounds), fluid & electrolyte balance (ABGs) ...
It depends on what type of cardiomyopathy as well. I've only had experience w/ CHF. I liked this link: http://www.americanheart.org/presenter.jhtml?identifier=4468
netglow, ASN, RN
4,412 Posts
Nobody here can replace what you will gain if you should attempt to research the topic yourself OP. After all Cardiomyopathy is not some rare pathophys. I would highly advise going online and looking into purchasing a pathophys book, and starting to make some of your own connections.
Good one...
Professional Guide to Pathophysiology (Professional Guide Series) (Hardcover)
~ Springhouse (Editor)