Subjective: Decreased STG: 1.monitor BP every1-2 1. changes in BP may indicates STG: “madalas ako Cardiac Output After 6 hrs of hours, or every5 changes in patient status After 6 hrs of nursing mahilo”, as verbalized r/t malignant nursing minutes during active requiring prompt attention. interventions, the by the patient. hypertension as interventions, the titration of vasoactive client had no manifested by client will have no drugs. elevation in blood Objective: decreased stroke elevation in blood 2. monitor ECG for 2. decrease in cardiac output pressure above >lethargic volume. pressure above dysrhythmias, may result in changes in normal limits and will >decreased cardiac normal limits and conduction defects and cardiac perfusion causing maintain blood output will maintain blood for heart rate. dysrhythmias. pressure within >decreased stroke pressure with acceptable limits. volume inacceptable 3. suggest frequent 3. it may decrease peripheral Goal was met. >increased peripheral limits. position changes. venous pooling that may be vascular resistance potentiated by vasodilators LTG: >VS taken as follows: LTG: After 5 days and prolonged sitting or After 5 days of nursing T: 37.2 of nursing standing. interventions, the PR: 83 interventions, the 4.encourage patient to 4. caffeine is a cardiac client maintained an RR: 18 client will maintain decrease intake of stimulant and may adversely adequate cardiac BP: 180/100 adequate cardiac caffeine, cola and affect cardiac function. output and cardiac output and cardiac chocolates. index. index. Goal was met. 5. observe skin color, 5. peripheral vasoconstriction temperature, capillary may result in pale, cool, refill time and clammy skin, with prolonged diaphoresis. capillary refill time due to cardiac dysfunction and decreased cardiac output.
6.auscultate heart 6. hypertensive patients often
tones. haveS4 gallops caused by atrial hypertrophy.
7. administer 7. to promote wellness.
medicines as prescribed by the physician.
8. instruct client 8. restrictions can assist with
&family on fluid and decrease n fluid retention and diet requirements and hypertension, thereby restrictions of sodium. improving cardiac output.
9. instruct client and 9. promotes knowledge and
family on medications, compliance with drug regimen side effects, contraindications and signs to report.
"Acute Coronary Syndrome Non ST Elevation Myocardial Infarction, Hypertensive Cardiovascular Disease, Diabetes Mellitus Type 2, and Community Acquired Pneumonia" Nursing Care Plans