PATIENT:

NURSING DIAGNOSIS: Decrease in cardiac output r/t altered afterload as evidenced by

decreased pheriperal pulses.
Short term goal: At the end of our shift patient will be able to
Long term goal:
CUES PROBLEM SCIENTIFIC INTERVENTION RATIONALE EVALUATION
DEFINITIO
N
SUBJECTIVE: Bleeding Internal >Kept client on
”Nanlalamig bleeding bed in comfort
ako tapos occurs when position.
nahihirapan damage to an
ako artery or vein >Administered >To balance
huminga”,as allows blood Oxygen @2LPM oxygen
verbalized by to escape the via nasal cannula. supply and
the patient. circulatory demand
OBJECTIVE: system and >Administered >To replace
 collect inside fluids via IV as body fluid
the body. The ordered. loss.
amount of
bleeding
depends upon
the amount of
damage to an
organ and the
blood vessels
that supply it,
as well as the
body's ability
to repair
breaks in the
walls of the
blood vessels.