NURSING CARE PLAN

CUES NURSING SCIENTIFIC OBJECTI INTERVEN- RATIONALE EVALUA VALUE

DIAG- ANALYSIS VES TIONS -TION INTEGRA
NOSIS. TION

Subjecti Decreased Cardiac After 8 hours Independen After 8 As a future

ve cardiac output is the of holistic t: 1. Facilitate trust and hours of nurse I
Cues: output volume of nursing 1. Build rapport cooperation holistic learned
The client related to blood being intervention, with the nursing how to be
may decreased pumped by the patient client intervention patient
verbalize myocardial the heart will be able 2. Provides a basis for , the goal and
easily contractility throughout to 2. Obtain evaluating effectiveness of was understan
exhausted secondary the body. demonstrate resting vital interventions done by the partially ding in
or to When a improve signs. nurse met since taking care
restlessne cardiomyo patient has cardiac the patient of my
ss. pathy. cardiomyopa output as 3. Pallor is indicative of still client
thy, his heart evidenced 3. Inspect skin decreased peripheral manifest wherein I
Objectiv muscle by Vital for pallor, perfusion, secondary to low BP and understan
e Cues: becomes signs within cyanosis inadequate cardiac output minimal d that the
The client inflamed and normal limits dyspnea. client with
may enlarged. and 4. Serve as the basis of the a certain
manifest: When the decreased 4. Check for nurse to determine how much disease
• Edema heart muscle manifestatio edema of fluid retained in patient’s body may
• Dyspn is inflamed, n of feet, legs, day by day. response
ea the heart dyspnea. and arm and to
• Tachyp cannot work weigh differently
nea properly as it patient daily. from a
• Cold should, it 5. the elevations lower the healthy
cla- cannot 5. Elevate the pressure on the diaphragm, one.
mmy pumped patient’s which is caused by the
skin enough head to 30- contents of the abdomen, and
blood 45 degrees decreasing venous return
• Restle
throughout to help thereby decreasing pre-load
ssness
the body alleviate
• Low
thus dyspnea.
BP
resulting to 6. client may tire easily or
decreased 6. Assist as become dyspneic that’s why
cardiac needed in they need to conserve energy
output and ambulation
decreased 7. I&O are essential for
blood 7. Measure and monitoring for potential fluid
pressure. document overload.
I&O every 4
hours
8. Quiet environment facilitates
8. Provide rest which helps decrease
calm, restful emotional stress that
surroundings facilitates relaxation.
, minimize
environment
al activity or
noise.
9. Reduces physical stress and
9. maintain oxygen demand.
activity
restrictions
10. Reduces anxiety and
10. Provide enhancing knowledge on the
health part of the client and his
teaching to family, thus they will have an
the patient idea on how to manage it.
and his
family
regarding the
cardiomyopat
hy

Dependent: 1. Increases available oxygen for

1. Administer myocardial uptake to combat
supplementa effects of hypoxia and ischemia.
l oxygen as
indicated 2. Diuretics often lead to clinical
improvements to patient with
2. Administer heart disease.
diuretics as
prescribed