Alterations in Cardiac Output: Decreased
(_)Actual (_) Potential
| (_)
Cardiac factors (_) Pulmonary disorders (_) Endocrine disorders (_) Hematological disorders (_) Fluid & electrolyte disturbances (_) Surgery/anesthesia (_) Newborn/Infant |
(_)
Vagal stimulation (_) Stress (_) Shock (_) Allergic response (_) Medications (_) Other:___________________ ___________________________ ___________________________ |
| (_)
Angina (_) Cardiac arrythmia (_) Cyanosis (_) Dyspnea (_) Edema (periph./sacral) |
(_)
Fatigability (_) Hypotention (_) Oliguria (_) Restlessness (_) Tachycardia |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Demonstrate imporved cardiac output A.E.B.:
(_) Other: |
(_)
Assess color, BP, pulse, respirations q___ hours. (_) Listen to breath sounds q___ hours. (_) Check for edema of feet, legs, and sacrum q___ hours. (_) Daily weights at ____ a.m./p.m. using same scale. (_) Measure intake and output q 8 hours. (_) Organize care to maximize periods of uninterrupted rest. Needs ______ rest periods/day. (Specify:): ________________________ (_) Explore with patient potential etiological factors for decreased cardiac output and provide health teaching. (See Discharge Plan) (_)
Other:________________ (_) Discharge
Plan:________ |
__________________________
Patient/Significant other signature
__________________________
RN signature