Nursing Interventions For Decreased Cardiac Perfusion/output Flashcards
what does it mean to have decreased cardiac output?
decreased cardiac output occurs when the heart can not pump enough blood to meet the body’s needs.
- this results in decreased oxygenation to tissues, organs and potentially leading to organ damage or failure
what is the most common diagnosis assocaited with decrease cardiac output?
heart failure
what are some examples of causes for decreased cardiac output?
tamponade
hyperntesion
fluid overload
emobli
shock
heart failyure
genetic diseases
what are some symptoms of decreased cardiac output?
SOB
fatigue
weakness
dizzinness
palpitations
swelling in the legs and ankles
what is the first thing we usually like to see for a patient when we suspect cardiac output is decreased?
LOW URINE OUTPUT!
What are some risk factors assocaited with decreased cardiac output?
smoking
obesity
diabetes
hypertension
anemia
history of heart disease
what is the nursing assessment for cardiac?
what is the nursing assessment for respiratory ?
what is the nursing assessment for neuro?
what is the nursing assessment for renal?
cardaic
- heart rate,rhythm
- blood presure
- listen heart sounds
- look at JVD
- feel pulses
- caprillary refill
respiratory
- listen lung sounds
- breath sounds
- oxygenation status
- coughing, wheezing
- orthopnea
neuro
- change in LOC
- mental status
- restlessness
- anxiety
renal
- check urine output
- creatinine and bun
what are some diagnostic studies we can do for a patient with low cardiac output?
ECG
chest x-ray
echo
stress test
cardaic cath
pulse ox
labs- bun, creatinine, abgs, cbc, thyroids
what type of environment are we going to place these patients in?
prevent stress by placing them in a quiet environment
decrease stimuli
what might we need to administer to these clients?
oxygen
IV fluids/eelctrolyes
medications as indicaited
what mainly are we monitoring for these clients? to see if they have improved?
blood pressure
heart rate
heart sounds
urine output
The nurse should monitor the client’s progress toward these goals and adjust interventions as needed:
Improved oxygenation and circulation
Decreased fluid overload
Relief of symptoms
Cardiac output adequate for individual needs
Complications prevented/resolved
Optimum level of activity/functioning attained
Dysrhythmia controlled or absent
Pulse oximetry within an acceptable range/free of signs of respiratory distress
