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    Decreased Cardiac Output Nursing Care Plan

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    judssalangsang
    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)

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    Decreased Cardiac Output Nursing Care Plan

    Uploaded by

    judssalangsang
    27K views4 pages
    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)

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    decreased cardiac output nursing care plan

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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)

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    27K views4 pages

    Decreased Cardiac Output Nursing Care Plan

    Uploaded by

    judssalangsang
    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)

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    DECREASED CARDIAC OUTPUT Da Cues te/ tim e S E P T E M B E R 8 , 2 0 1 2 @

    Ne ed

    Nursing Diagnosis

    Objectives of Care

    Nursing interventions

    Evaluation

    Subjective: Objective: Blood pressure of mmHg ECG 12 leads reading: sinus tachycardia Electrolytes: Spinal fracture; spinal compression ; autonomic dysreflexia

    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 ( 90/60130/90 mmHg); b. Warm, dry skin;
    c. Strong bilateral,

    1. Monitor vital signs especially blood pressure R: sinus tachycardia and increased arterial blood pressure are seen in early stages. 2. Monitor for clients 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 fluid secondary to impaired

    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 of ____

    equal peripheral pulses; and d. Clear lung sounds.

    ventricular emptying. 7: 0 0 A M 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-Folwlers position R: Supine position increases venous return and promote diuresis. Semifowlers position reduces preload and ventricular filling. 6. Administer humidified oxygen as ordered

    mmHg; b. Warm, dry skin; c. Strong bilateral, equal peripher al pulses ; and d. Clear lung sounds hear upon auscultat ion. Judeah G. Salangsang, St. N

    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). Mosbys Pharmacology in Nursing. 23rd edition. Mosby, Elsevier, Inc. USA

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