Nursing Care Plan : Nursing Diagnosis Nanda

Nursing Diagnosis Activity Intolerance related to imbalance between oxygen supply - Congestive Heart Failure

Activity intolerance related to imbalance between oxygen supply, general weakness, long bed rest / immobilization.

Characterized by:
Weakness, fatigue, changes in vital signs, presence of dysrhythmias, dyspnea, pallor, sweating.

Objectives / evaluation criteria:
Clients will participate in desired activities, meet self-care, achieving increased tolerance activity can be measured, evidenced by decreased weakness and fatigue.

Nursing Diagnosis - Intervention - Activity Intolerance:
Check vital signs before and immediately after activity, especially when the client is using vasodilators, diuretics and beta blockers.
Rational: orthostatic hypotension may occur with activity because the effects of the drug (vasodilation), the displacement of fluid (diuretics) or influence cardiac function.

Record the cardiopulmonary response to activity, noted tachycardia, dysrhythmias, dyspnea sweaty and pale.
Rational: Decrease / inability of the myocardium to increase the volume of activity during dpat sekuncup cause an immediate increase heart rate and oxygen demand is also increasing fatigue and weakness.

Evaluation of an increase in activity intolerance.
Rational: to show an increase in cardiac decompensation rather than excess activity.

Implementation of cardiac rehabilitation programs / activities (collaboration) Rational: a gradual increase in activity to avoid cardiac work / oxygen consumption is excessive. Strengthening and improvement of cardiac function under stress, if cardiac function can not be improved again.

Nursing Diagnosis Activity Intolerance related to imbalance between oxygen supply - Congestive Heart Failure
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