decreased cardiac output nursing care plan
6
DECREASED CARDIAC OUTPUT Da te / ti me Cues Ne ed Nursing Diagnosis Objectives of Care Nursing interventions Evaluation S E P T E M B E R 8 , 2 Subjective: Objective: Blood pressure of mmHg ECG 12 leads reading: sinus tachycard ia Electroly Decreased Cardiac output related to decreased ventricular filling Within 8 hours span of care, the client will not experience further complications brought about by decreased cardiac output as evidenced by: a. Blood pressure within 1. Monitor vital signs especially blood pressure R: sinus tachycardia and increased arterial blood pressure are seen in early stages. 2. Monitor for client’s skin color and temperature. R: cold, clammy skin is secondary to compensatory increase in sympathetic September 8, 2012 @ 3:00 pm GOAL MET! After 8 hours span of care, the client did not experience further complicatio ns brought
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nursing care plan for a client who was identified to have decreased cardiac output related to decreased ventricular filling. client had breast cancer stage 4 (ductal carcinoma)
Transcript of decreased cardiac output nursing care plan
DECREASED CARDIAC OUTPUT
Da
te/
tim
e
Cues Ne
ed
Nursing Diagnosis Objectives of Care Nursing interventions Evaluation
S
E
P
T
E
M
B
E
R
8
,
2
0
1
2
Subjective:
Objective:
Blood
pressure of
mmHg
ECG 12
leads
reading:
sinus
tachycardia
Electrolytes:
Spinal
fracture;
spinal
compression
; autonomic
Decreased Cardiac
output related to
decreased
ventricular filling
Within 8 hours span of
care, the client will not
experience further
complications brought
about by decreased
cardiac output as
evidenced by:
a. Blood pressure
within normal
range ( 90/60-
130/90 mmHg);
b. Warm, dry skin;
c. Strong bilateral,
equal peripheral
pulses; and
d. Clear lung
sounds.
1. Monitor vital signs especially
blood pressure
R: sinus tachycardia and increased
arterial blood pressure are seen in
early stages.
2. Monitor for client’s skin color
and temperature.
R: cold, clammy skin is secondary to
compensatory increase in
sympathetic nervous system
stimulation and low cardiac output
and desaturation.
3. Auscultate lung sounds.
Determine any occurrence of
paroxysmal nocturnal
dyspnea or othopnea.
R: crackles after accumulation of
September 8,
2012 @ 3:00
pm
GOAL MET!
After 8 hours
span of care,
the client did
not experience
further
complications
brought about
by decreased
cardiac output
as evidenced
by:
a. Blood
pressure
@
7:
0
0
A
M
dysreflexia fluid secondary to impaired
ventricular emptying.
4. Administer medications as
ordered (Digoxin, and
antihypertensives)
R: Digoxin has been widely used as
a positive inotrope to increase
myocardial contractility. The
increased force of systolic
contraction cause the ventricles to
empty more completely.
Antihypetensives will aid the
improvement of cardiac output by
normalizing the blood pressure.
5. Place client in supine
position; semi-Folwler’s
position
R: Supine position increases venous
return and promote diuresis. Semi-
fowler’s position reduces preload
and ventricular filling.
6. Administer humidified oxygen
of ____
mmHg;
b. Warm,
dry skin;
c. Strong
bilateral,
equal
peripher
al pulses
; and
d. Clear
lung
sounds
hear
upon
ausculta
tion.
Judeah G.
Salangsang,
St. N
as ordered
R: the failing heart may not be able
to respond to increased oxygen
demands.
7. Maintain physical rest and
emotional rest by providing
quiet and relaxed
environment.
R:to reduce oxygen demand and to
prevent increasing cardiac demans.
8. Administer stool softeners as
ordered
R: straining for a bowel movement
further impairs cardiac output.
9. Educate the family and
significant others on the
importance of following drug
regimen, monitoring activity
an following deit restrictions
(low salt, low fat)
R: thorough understanding of
condition and what needs to be done
help in ensuring that complications
will not occur.
References:
- Gulanick, M. & Myers, J.
(2007). Nursing Care plans:
nursing diagnosis and
interventions. 6th edition.
Mosby, Elsevier Inc. USA
- McKenry, et.al (2007).
Mosby’s Pharmacology in
Nursing. 23rd edition. Mosby,
Elsevier, Inc. USA
