Nursing care of a patient with programmed cell death protein-1 immunotherapy-related myocarditis combined with coronary heart disease

Abstract

This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1 (PD-1) immunotherapy-related myocarditis combined with coronary heart disease (CHD) after receiving said treatment. In this case, immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy, yet the patient presented no clinical symptoms. Frequent nursing attention and close observation are so required for monitoring the patient's status and updating the physicians for a swift control of the myocarditis. For this case, nursing care procedures vital for the successful recovery of the patient included condition observation, position management, pre- and postcoronary angiography care, infection prevention, hemorrhage prevention, venous access port maintenance, pain care, trachea care, psychological care, diet care, environment management, and health education. After receiving effective, successful treatment and care, the patient was discharged after 13 days of treatment with generally satisfying overall conditions.