ASSESSME SCIENTIFIC

DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

NT CUES EXPLANATION
Subjective: Decreased Ineffective After 8hrs of
intravascular volume tissue nursing shift the
perfusion r/t client will be
decreased hb able to have an
Objectives: decrease in cardiac concentration effective tissue
output perfusion
Vital signs
Bp 170/70 anti diuretic hormone, After 4hrs of Establish rapport For the patient to
RR 22 aldosterone secretion nursing adhere in the
PR 74 intervention the activities
T 36.8 increased volume, client will be
increased heartrate, able to:
forece of contractions assess causative identify changes
factors related to systemic for the patient to
increase cardiac output or peripheral know what is
alteration in happening within
continued loss of circulation him
volume
maximize tissue monitor Vital signs serves as baseline
decreased cardiac perfusion data.
output
Measure urine To monitor the
decrease tissue output on a regular clients output and
perfusion schedule input

provide psychologic to remove the

support for client, possibility of
especially when anxiety and
progression of hoplesness
disease and
resultant treatment.

Administer to help in the

medications perfusion of tissue