Nursing Diagnosis: Risk for Decreased Cardiac Output related to structural abnormalities of the heartGoal:
- no spend upward inwards cardiac output
- vital signs inside normal limits,
- free of symptoms of midpoint failure,
- reported a decrease inwards episodes of dyspnoea,
- participate inwards activities that trim the heart's workload,
- adequate urine output: 0.5 to two ml / kg torso weight.
Nursing Interventions - Risk for Decreased Cardiac Output related to Tetralogy of Fallot:
1. Assess the pulse rate, respiration, blood describe per unit of measurement area regularly every iv hours.
R :/ Monitoring the alter of midpoint circulation equally early on equally possible.
2. Record the midpoint sounds.
R :/ Know of whatever changes inwards midpoint rhythm.
3. Assess changes inwards peel coloring of the cyanosis too pallor.
R :/ Pale showed a decrease inwards peripheral perfusion to inadequate cardiac output. Cyanosis occurs equally a resultant of obstacle of blood menstruation to the ventricles.
4. Limit your activities adequately.
R :/ adequate residue is needed to amend the efficiency of cardiac contraction too oxygen consumption too trim redundant work.
5. Monitor intake too output every 24 hours.
R :/ kidneys answer to decrease cardiac output past times withholding the production of fluid too sodium.
6. Provide a serenity surround of psychological conditions.
R :/ emotional stress produces vasoconstriction which increases blood describe per unit of measurement area too increased midpoint work. Sumber http://nanda-nursinginterventions.blogspot.com/