Thursday, February 26, 2015

Nursing Diagnosis

Nursing Diagnosis  
For Congestive Heart Failure


Possible Nursing Diagnosis

1. Decreased Cardiac Output
2. Excess Fluid Volume
3. Risk for Alteration in Electrolyte Balance
4. Activity Intolerance
5. Knowledge Deficient

Nursing Diagnosis and intervention


Potential problem
Related to
Goal
Outcome
Intervention
Decrease cardiac output
Decreased Contractility
1.Clear lung sounds

2.No shortness of breath

3.Absence of or reduced edema

Patient will maintains optimally compensated cardiac output

1. Administer or evaluated patient’s home compliance with prescribed medication.

2. Assess for complains of fatigue and reduced activity tolerance. Determine at what level of activity fatigue or exertional dyspnea occurs.

3. Weight patient daily at the same time and same scale.

Gullanick. M., & Myers. J. (2013). Nursing Care Plans: Nursing Diagnosis and Intervention. St. Louis, MI. Elsevier

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