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    Decreased Cardiac Output RT Hypertension

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    jessa mae

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    © All Rights Reserved
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    Decreased Cardiac Output RT Hypertension

    Uploaded by

    jessa mae
    8 views3 pages

    Original Title

    Decreased Cardiac Output rt Hypertension

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views3 pages

    Decreased Cardiac Output RT Hypertension

    Uploaded by

    jessa mae

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Jessa Mae G.

    Felisco Med A Rotation

    Assessment Nursing Diagnosis Planning/Objectives Intervention Rationale Evaluation

    Subjective: Decreased Cardiac Within 8 hours of Independent: After 8 hours of


    ”Nagluya akong Output rt nursing nursing
    paminaw, nabuyod Hypertension interventions, - Monitor vital - To asses interventions,
    gani ko maong di patient’s vital signs signs effectivenes patient’s vital signs
    pd ko layhan will show adequate s of show adequate
    magsige ug cardiac output as medication cardiac output as
    lingkod” as evidenced by: and be alert evidenced by:
    verbalized by the for any
    patient - Blood immediate - Blood
    - Noted pressure intervention pressure
    episodes of and heart s and heart
    Nausea rate will rate has
    after meals return within - Gather - To return within
    and drinking normal health determine normal
    meds range history and the potential range
    - Dyspnea - Absence of identify risk causes and - Absence of
    during sleep edema factors appropriate edema
    or with - active intervention - active
    exertion participation s participation
    in different in different
    Objective: relaxation - Assess the - To note for relaxation
    - Bipedal techniques peripheral any techniques
    edema for stress pulse decreased for stress
    Grade 1 managemen tissue managemen
    - Visible t perfusion t
    striae on - Absence of - Absence of
    both arms dyspnea - Evaluate - To assess dyspnea
    - Clammy, - Adherence reports of for any - Adherence
    cool skin to diet and extreme signs of to diet and
    - On soft diet, lifestyle fatigue and poor lifestyle
    low salt, low modification progressive ventricular modification
    cholesterol - Demonstrat shortness of function and - Demonstrat
    with SAP e breath apply e
    - On oxygen compliance appropriate compliance
    @ 2 lpm via on managemen on
    nasal medication t medication
    cannula managemen managemen
    Vital signs: t - Elevate the - To facilitate t
    BP: 180/110 mmHg - Verbalize head of the lung - Verbalize
    Pulse: 134 bpm future bed expansion future
    O2 sat: 98% activities for and activities for
    RR: 27 cpm the maintain the
    Capillary Refill: 4 improvemen appropriate improvemen
    secs t of cardiac oxygenation t of cardiac
    health level health

    - Initiate - Stress can


    relaxation contribute to
    techniques blood
    such as pressure,
    deep relaxation
    breathing techniques
    help in the
    reduction

    - Encourage - To slowly
    the patient promote
    to sit on the activity and
    bed and increase the
    dangle the strength of
    feet the cardiac
    muscles

    - Provide a - To avoid
    calm and any trigger
    quiet of stress
    environment
    Dependent:

    - Administer - Antihyperte
    prescribed nsive
    medication medications
    help in
    lowering the
    blood
    pressure

    - Administer - To relieve
    oxygen as shortness of
    ordered breath

    Collaborative

    - Educate the - To help


    patient on manage and
    lifestyle control
    modification blood
    s pressure

    - Collaborate - To provide a
    with the better
    dietitian on understandi
    the ng and
    prescribed allow
    diet adherence

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