Alterations in Cardiac Output: Decreased
Published on Monday October 12th , 2009
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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