Scribd Logo
Upload

Welcome to Scribd!

  • 5K views

    NCP Cardiogenic Shock

    Uploaded by

    Trixia Camporedondo
    The patient was unconscious and intubated. Vital signs showed tachycardia, low blood pressure, rapid breathing, weak pulses, and oliguria. The nurse assessed the patient as having decreased cardiac output related to an altered heart structure and decreased contractility. Goals were to increase cardiac output and blood volume within 15 minutes through interventions like monitoring vitals every 15 minutes, auscultating pulses, encouraging rest, and providing a quiet environment. The nurse would also monitor urine output and administer medications as ordered.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NCP Cardiogenic Shock

    Uploaded by

    Trixia Camporedondo
    5K views3 pages
    The patient was unconscious and intubated. Vital signs showed tachycardia, low blood pressure, rapid breathing, weak pulses, and oliguria. The nurse assessed the patient as having decreased cardiac output related to an altered heart structure and decreased contractility. Goals were to increase cardiac output and blood volume within 15 minutes through interventions like monitoring vitals every 15 minutes, auscultating pulses, encouraging rest, and providing a quiet environment. The nurse would also monitor urine output and administer medications as ordered.

    Original Description:

    Nursing Care Plan

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The patient was unconscious and intubated. Vital signs showed tachycardia, low blood pressure, rapid breathing, weak pulses, and oliguria. The nurse assessed the patient as having decreased cardiac output related to an altered heart structure and decreased contractility. Goals were to increase cardiac output and blood volume within 15 minutes through interventions like monitoring vitals every 15 minutes, auscultating pulses, encouraging rest, and providing a quiet environment. The nurse would also monitor urine output and administer medications as ordered.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    5K views3 pages

    NCP Cardiogenic Shock

    Uploaded by

    Trixia Camporedondo
    The patient was unconscious and intubated. Vital signs showed tachycardia, low blood pressure, rapid breathing, weak pulses, and oliguria. The nurse assessed the patient as having decreased cardiac output related to an altered heart structure and decreased contractility. Goals were to increase cardiac output and blood volume within 15 minutes through interventions like monitoring vitals every 15 minutes, auscultating pulses, encouraging rest, and providing a quiet environment. The nurse would also monitor urine output and administer medications as ordered.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    Trixia T.

    Camporedondo 4AN2 Intensive Care Unit August 26-27, 2014



    Assessment Diagnosis Inference Goal Nursing Intervention Rationale Evaluation

    Subjective:

    Patient is in ET and
    unconscious.

    Objective:
    BP: 90/70
    mmHg
    RR: 28
    breaths/min
    PR:114 bpm
    Weak
    peripheral
    pulses
    Tachycardia
    Oliguria
    Narrowing
    Pulses



    Decreased cardiac
    output related to
    altered cardiac
    structure.

    Decreased
    contractility

    Decrease cardiac
    output

    Decreased blood
    volume

    Decreased coronary
    artery perfusion

    Decreased blood
    supply

    Hypoxia

    Compensatory
    mechanism
    increased RR

    Difficulty of
    breathing


    Endotracheal
    Intubation with
    Mechanical

    After 15 minutes of
    nursing
    intervention the
    patients vital signs
    will be within
    acceptable limit.



    Obtain HR, RR,
    and BP every
    15 minutes to
    evaluate the
    patients
    response to
    therapy and
    detect
    cardiopulmon
    ary
    deterioration.

    Auscultate
    apical pulse.

    Palpate
    peripheral
    pulses.






    Monitor BP.




    To establish
    baseline.










    Tachycardia is
    usually present.

    Decreased
    cardia output
    may be reflected
    in diminished
    radial, popliteal
    dorsalis pedis
    and posttibial
    pulses.

    Body may no
    longer
    compensate and
    cause

    After 15 minutes of
    nursing
    intervention the
    patients vital signs
    within acceptable
    limit.









    Trixia T. Camporedondo 4AN2 Intensive Care Unit August 26-27, 2014

    Ventilator







    Monitor urine
    output.





    Encourage
    rest.





    Provide quiet
    environment
    and avoid
    stressful
    situation.





    Administer
    medication as
    ordered by
    the physician.
    hypotension.

    Kidneys respond
    to decreased
    cardiac output
    by retaining
    water and
    sodium.

    Physical rest
    should be
    maintaining to
    decrease the
    oxygen demand
    of the body.

    Psychological
    rest helps
    reduce
    emotional
    stress, which can
    produce
    vasoconstriction,
    elevating BP and
    increase heart
    rate.





    Trixia T. Camporedondo 4AN2 Intensive Care Unit August 26-27, 2014

    You might also like