Professional Documents
Culture Documents
EVALUATION:
Short term:
After 4 hours of nursing intervention the patient shall have verbalized
methods that provide relief
Long term:
After 2 days of nursing intervention the patient shall have
demonstrated use of relaxation techniques and divertional activities
as indicated for individual situation
Nursing Care Plan
Decreased Cardiac Output
NURSING CARE PLAN
for Decreased Cardiac Output
ASSESSMENT NURSING DIAGNOSIS
Subjective: Decreased cardiac output related
“ gihangak man ko” as verbalized to altered stroke volume
by the patient
Objective:
Shortness of breath
Fatigue
With oxygen hooked via nasal
cannula at 2 LPM
With cardiac dysrhythmias on
ECG
Pallor
Prolong capillary refill
NURSING CARE PLAN
for Decreased Cardiac Output
PLANNING
Short term goal:
After 4 hours of nursing intervention the patient will
participate in activities that decrease the workload of
the heart such as stress management or therapeutic
medication regimen program
Dependent:
• Administer supplemental • To provide for adequate
oxygen as ordered oxygenation
• Administer medicines as • To promote wellness
prescribed by the physician
NURSING CARE PLAN
for Decreased Cardiac Output
EVALUATION:
Short term:
After 4 hours of nursing intervention the patient shall have
participated in activities that decrease the workload of the heart such
as stress management or therapeutic medication regimen program
Long term:
After 4 days of nursing intervention the patient shall have displayed
hemodynamic stability and normalization of ECG tracings and blood
pressure readings
Nursing Care Plan
Of Activity Intolerance
NURSING CARE PLAN
for Activity Intolerance
ASSESSMENT NURSING DIAGNOSIS
Subjective: Activity Intolerance related to
“The patient verbalize: exertional cardiac dysfunction, imbalance in
dyspnea oxygen supply and consumption
as evidenced by shortness of
Objective: breath upon exertion
BP = 165/84, HR= 125, RR=28
Fatigue
With oxygen hooked via nasal
cannula at 2 LPM
Ischemic ECG changes
Pallor
Cyanosis
Need for assistance upon
movement
NURSING CARE PLAN
for Activity Intolerance
PLANNING
Short term goal:
After 4 hours of nursing intervention the patient will
use identified techniques to increase activity tolerance
Long term:
After 4 days of nursing intervention the patient shall have increased
and achieved desired activity level, progressively, with no intolerance
symptoms noted, such as respiratory compromise
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