Alterations in Cardiac Output: Decreased

Alterations
in Cardiac Output: Decreased

(_)Actual (_)
Potential

Related
To:
[Check
those that apply]
(_)
Cardiac factors
(_) Pulmonary disorders
(_) Endocrine disorders

(_) Hematological disorders
(_) Fluid & electrolyte disturbances
(_) Surgery/anesthesia
(_) Newborn/Infant

(_)
Vagal stimulation

(_) Stress
(_) Shock
(_) Allergic response
(_) Medications
(_) Other:___________________
___________________________

___________________________

 

As
evidenced by:
[Check
those that apply]
(_)
Angina
(_) Cardiac arrythmia
(_) Cyanosis
(_) Dyspnea
(_) Edema (periph./sacral)
(_)
Fatigability

(_) Hypotention
(_) Oliguria
(_) Restlessness
(_) Tachycardia

 

Date &
Sign.
Plan and Outcome
[Check
those that apply]
Target
Date:
Nursing Interventions
[Check
those that apply]
Date
Achieved:
  The
patient will:

(_)
Demonstrate imporved cardiac output A.E.B.:

  • vital signs
    within normal limits for patient. [BP____] [P___]
  • color pink
  • chest clear
  • balanced I &
    O
  • minimal or absent
    edema

(_) Other:

  (_)
Assess color, BP, pulse, respirations q___ hours.

(_) Listen to breath sounds
q___ hours.

(_) Check for edema of
feet, legs, and sacrum q___ hours.

(_) Daily weights at
____ a.m./p.m. using same scale.

(_) Measure intake and
output q 8 hours.

(_) Organize care to
maximize periods of uninterrupted rest. Needs ______ rest
periods/day. (Specify:): ________________________

(_) Explore with
patient potential etiological factors for decreased
cardiac output and provide health teaching. (See
Discharge Plan)

(_)
Other:________________
________________________
________________________
________________________

(_) Discharge
Plan:________
________________________
________________________
________________________

 

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature