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Assessment Nursing Diagnosis Objective of Care Intervention Rationale

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Assessment Nursing Diagnosis Objective of Care Intervention Rationale

Subjective: Decreased cardiac After 8 hours of


“madali man ako napapagod output related to nursing intervention.  Obtain Resting  Provides a basis for
mam at nahihirapan din po ako decreased cardiac The patient will be able Vital Signs evaluating
huminga, mabilis po tumitikob contractility and to: effectiveness of
ang puso ko” dysrhythmias intervention
 Demonstrate
Objective: Improved Cardiac  Inspect skin for  Pallor is indicative
Abnormal heart sounds (S3, output as evidence pallor, cyanosis. of decreased
S4) by vital signs peripheral
Restlessness within normal perfusion,
Cold Clammy skin ranges secondary to
BP:  Decreased inadequate cardiac
80/50 Manifestation of output
T-37*C Dyspnea
PR-98bpm  Patient explains  Assess heart  S3 indicates LV
RR-10 actions and sounds for gallops Failure, S4 implies
precautions to take (S3, S4). Diastolic Filling
for cardiac disease.

 Measure and  I&O are essential


document I&O for monitoring for
every 4 hours potential fluid
overload.

 Provide calm,  Quiet environment


restful facilitates rest
surroundings, which helps
minimize decrease emotional
environmental stress that
activity or noise. facilitates
relaxation.
 Increases available
 Administer oxygen for
supplemental myocardial uptake
oxygen as indicated to combat effects
of hypoxia and
ischemia.

 Administer  Diuretics often lead


diuretics as to clinical
prescribed improvements to
patient with heart
disease.

Reference:

https://www.scribd.com/doc/39367562/Decreased-Cardiac-Output-Related-to-Decreased-Myocardial-Contractility-Secondary-to-
Cardiomyopathy

https://nurseslabs.com/decreased-cardiac-output/

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