Nursing Diagnoses Flashcards
0
Q
Outcome for Acute chest pain
A
Pt. Verbalized relief of pain from 10 to 3-4
1
Q
Nursing Dx: MI
A
Acute Chest pain
2
Q
Interventions
A
Administer oxygen as prescribed - improves arterial saturation, ischemia is reduced.
Note time since onset of episode
Maintain quiet environment - reduces oxygen demand and anxiety
3
Q
RN Dx: Coronary Bypass/Valve Surgery
A
Decreased Cardiac Output
4
Q
Expected Outcomes:
A
Pt. Maintains adequate CO AEB strong peripheral pulses, HR 60-100, reg rhythm, urinary output >30, clear breath sounds, good cap refill, warm, dry skin, norm LOC
5
Q
Interventions R/T bypass surgery:
A
Administer nitroglycerin - vasodilator that acts on Coronary
Administer Oxygen
6
Q
RN Dx: Dysrhythmias
A
Risk for Decreased CO
7
Q
Expected outcomes for Decreased CO
A
Pt. Maintains adequate CO AEB …
