Nursing Interventions for Heart Failure
Nursing Diagnosis : Decrease Cardiac Output related to Myocardial Infarction
Goals / Criteria results:
NOC:
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
Circulatory Care:
Rational:
Ineffective Breathing Pattern - NCP for Acute Myocardial Infarction
Nursing Diagnosis : Decrease Cardiac Output related to Myocardial Infarction
Goals / Criteria results:
NOC:
- 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
Rational:
- 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
