Saturday, September 22, 2012

Decrease Cardiac Output related to Myocardial Infarction

Nursing Interventions for Heart Failure

Nursing Diagnosis : Decrease Cardiac Output related to Myocardial Infarction

Goals / Criteria results:

  • After nursing intervention on the client:
  • Clients can have a heart pump effectively,
  • status of the circulation, tissue perfusion and vital signs were normal status.

Expected outcomes:
Shows adequate cardiac output indicated by blood pressure, pulse, normal rhythm, strong peripheral pulses, without dipsnea activity and pain.
Free from side effects of medications used

Cardiac Care: acute
  • Evaluation of chest pain
  • Auscultation of heart sounds
  • Evaluation of the krackels
  • Monitor the status of neurology
  • Monitor intake / output, urine output
  • Create an environment that is conducive to rest

Circulatory Care:
  • Evaluation arteries and peripheral edema
  • Monitor skin and extremities
  • Monitor vital signs
  • Move the client's position every 2 hours if needed
  • Teach ROM during bedrest
  • Monitor compliance with liquids

  • The presence of pain suggests inadequate blood supply to the heart
  • Still a gallop rhythm, crackels, tachycardia indicate heart failure
  • Role in CNS disorders may be associated with decreased cardiac output
  • Spending urine less than 30 ml / hour showed a decrease in cardiac output
  • The emergence of signs of heart failure, showed a decrease in cardiac output

Ineffective Breathing Pattern - NCP for Acute Myocardial Infarction

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