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

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