Nursing Diagnosis Decreased cardiac output - Heart Failure

Decreased cardiac output related to decreased left ventricular filling, increased atrial and venous congestion.

Goal:
Hemodynamic stability can be maintained with the following criteria: (TD> 90/60), normal cardiac frequency.

Actions:
  • Keep the patient to bed rest
  • Measure the hemodynamic parameters
  • Monitor ECG, especially the frequency and rhythm.
  • Monitor heart sound S-3 and S-4
  • Check the BGA and saO2
  • Maintain IV access
  • Limit Sodium and water
Rational
  • Reducing the burden of heart
  • To determine the blood perfusion in vital organs and to determine the PCWP, CVP as an indicator of increased cardiac workload.
  • To find out if there is a decrease in contractility that may affect cardiac output.
  • To determine the level of impairment charge systole or diastole.
  • To know in peripheral tissue perfusion.
  • For maintenance if it occurs during vascular crisis.
  • Preventing an increase in cardiac load
  • Improving perfusion to tissues
Nursing Diagnosis Decreased cardiac output - Heart Failure
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Nursing Care Plan for Cardiac Decompensation