Nursing Care Plan

Return to Care Plan Listing
 





 

Medical Diagnoses: Decreased Cardiac Output, Altered electrical conduction

Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

*I

Evaluation

Goals

Interventions

Subjective

 

 

N/A

 

 

Objective

     

Diagnosis of chronic atrial fibrillation

     

Upon arrival, pt HR was 114 BPM

     

EKG reveals atrial fibrillation with rapid ventricular response


Problem

     

Decreased Cardiac Output

Long Term:

 

Pt will demonstrate adequate cardiac output as evidence by BP, HR, and rhythm within normal parameters by discharge. 


     

*Schedule rest periods after meals and activities.

     

Rationale: “Rest helps lower arterial pressure and reduce the workload of the myocardium by diminishing the requirements for cardiac output” (Ackley & Ladwig, 2008, p. 195).

 

*Place client in semi-Fowler’s or high Fowler’s position with legs down or position of comfort.

 

Rationale: “Elevating the HOB and legs down position may decrease the work of breathing and may also decrease venous return and preload” (Ackley & Ladwig, 2008, p. 194).

 

     

ü            

     

     

R/T

 

 

Altered electrical conduction

 

 

 

 

Short Term:

 

Pt will remain free of side effects from the medications used to achieve adequate cardiac output throughout this shift, by 1900.

 

*Check BP, HR, and condition before administering cardiac medications.

 

Rationale: “It is important that the nurse evaluate how well the client is tolerating current medications before administering cardiac medications, do not hold medications without physician input” (Ackley & Ladwig, 2008, p. 194).

 

ü          

 

    

AEB

 

Hxn of chronic atrial fibrillation

 

Pt HR upon arrival was 114 BPM

 

Tachycardia

 

EKG reveals atrial fibrillation with rapid ventricular response

 

 

1,800 Cardiovascular review flash cards, download now and ace your exams

   

    

*I = Implementation.  Check those interventions/actions/orders that were implemented.

 

 

References

 

Ackley, B.J., & Ladwig, G.B. (2008). Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed.). St. Louis: Mosby Elsevier.


Return to Table of Contents