Decreased Cardiac Output

NURSING NURSING
ASSESSMENT PLANNING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION

Subjective: Decreased cardiac Within 8 hours, the Independent: Monitor vital signs,
output related to patient will: input and output.
“Nahihilo po ng konti.” altered afterload Establish rapport This facilitates
• Demonstrates patient’s cooperation
“Nanghihina nga rin adequate and establish respect
po ako.” cardiac output and trust
as evidenced
by blood
pressure and Place client in semi- Elevating the head of
pulse rate and Fowler's position or the bed may decrease
Objective: rhythm within position of comfort. the work of breathing,
normal and also decrease
• HR: 115 bpm parameters for venous return and
• PR: 110 bpm client; strong preload.
• Clammy skin peripheral
• Hands feel pulses Monitor intake and
colder than • Remains free of Decreased cardiac
output. output results in
arms side effects
• ECG : Atrial from the decreased perfusion
fibrillation medications of the kidneys, with a
used to achieve resulting decrease in
• Edema on
adequate urine output.
lower
extremities cardiac output
• Explains
Ensure client remains Facilitates temporary
actions and
on bed rest or recompensation.
precautions to
take for cardiac maintains activity
disease level that does not
compromise cardiac
output
Collaborative:
Early recognition of
symptoms facilitates
Instruct family and
early problem solving
client about the
and prompt treatment.
disease process,
Clients with heart
complications of
failure need intensive
disease process,
guideline gased
information on
education about these
medications, need for
topics to help prevent
weighing daily, and
readmission to the
when it is appropriate
hospital.
to call doctor