Nursing Diagnosis Decreased Cardiac Output

Decreased Cardiac Output

NANDA Definition: Inadequate blood pumped by the heart to meet the metabolic demands of the body

Common causes of reduced cardiac output include myocardial infarction, hypertension, valvular heart disease, congenital heart disease, cardiomyopathy, pulmonary disease, arrhythmias, drug effects, fluid overload, decreased fluid volume, and electrolyte imbalance. Geriatric patients are especially at risk because the aging process causes reduced compliance of the ventricles, which further reduces contractility and cardiac output. Patients may have acute, temporary problems or experience chronic, debilitating effects of decreased cardiac output. Patients may be managed in an acute, ambulatory care, or home care setting. This care plan focuses on the acute management.


Nursing Diagnosis Decreased Cardiac Output

Decreased Cardiac Output (the heart can not pump blood adequately required for the metabolism of the body) related to changes in cardiac contractility
(tachycardia , ECG changes, edema, jugular venous distention, fatigue, increased JVP, dypsneu)

NOC: patients show an Effective response to cardiac pump

NIC:

  • Cardiac care
  • Vital sign monitoring
  • Neurological monitoring
  • Medication management
  • Oxygen therapy

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