Nursing care for a patient with immunotherapy-associated myocarditis and myositis caused by tirelizumab

doi:10.3760/cma.j.issn.1007-1245.2023.22.035

Abstract

Abstract:

The nursing experience of a patient with immunotherapy-associated myocarditis and myositis caused by tirelizumab was summarized. The nursing key points were as below: the multidisciplinary specialist nursing team was established; a phased and individualized early rehabilitation exercise program was developed; the formulation of endurance exercise prescription, early cardiopulmonary rehabilitation exercise, and limb rehabilitation exercise combined with Borg classification; monitoring the conditions closely; cooperation with the treatment; psychological nursing; posture management; pressure ulcers prevention; early nutritional support. After multidisciplinary treatment and careful nursing, the patient was improved and discharged from the hospital. The follow-up after discharge showed that the patient basically resumed self-care.

Key words:

Tirelizumab, Immunotherapy, Immunotherapy-associated myocarditis, Immunotherapy-associated myositis, Rehabilitation, Nursing care

摘要：

总结1例替雷利珠单抗致免疫治疗相关性心肌炎及肌炎患者的护理经验。护理要点：组建多学科专科护理小组，制定分阶段个体化早期康复锻炼方案，结合Borg分级制定耐力运动处方、早期心肺康复锻炼、肢体康复锻炼；密切监测病情、积极配合救治工作；做好心理护理，加强体位管理，预防器械相关压力性损伤的发生；给予早期营养支持，加速患者康复。经多学科合作治疗和精心护理，患者好转出院，出院后随访发现患者基本恢复生活自理。

关键词:

Wu Jieyuan, Cao Yingchun, Zhang Yongjun.

Nursing care for a patient with immunotherapy-associated myocarditis and myositis caused by tirelizumab [J]. International Medicine and Health Guidance News, 2023, 29(22): 3298-3300.

吴洁媛曹迎春张咏军.

1例替雷利珠单抗致免疫治疗相关性心肌炎及肌炎患者的护理 [J]. 国际医药卫生导报, 2023, 29(22): 3298-3300.

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