Alterations in Cardiac Output: Decreased

Published on Saturday March 10th , 2007

Alterations in Cardiac Output: Decreased

(_)Actual (_) Potential

**Related To:**
*[Check those that apply]*
(_) Cardiac factors (_) Pulmonary disorders (_) Endocrine disorders (_) Hematological disorders (_) Fluid & electrolyte disturbances (_) Surgery/anesthesia (_) Newborn/Infant	(_) Vagal stimulation (_) Stress (_) Shock (_) Allergic response (_) Medications (_) Other:___________________ ___________________________ ___________________________

**As evidenced by:**
*[Check those that apply]*
(_) 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.:

vital signs within normal limits for patient. [BP____] [P___]
color pink
chest clear
balanced I & O
minimal or absent edema

(_) 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

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