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Decreased Cardiac Output - NCP for Angina Pectoris


Nursing Diagnosis for Angina Pectoris : Decreased cardiac output related to contraction disorders

NOC :
  • Cardiac Pump Effectiveness
  • Circulation Status
  • Vital Sign Status
Outcomes :
  • Vital Signs within the normal range (blood pressure, pulse, respiration).
  • Can tolerate the activity, there is no fatigue.
  • No pulmonary edema, peripheral and no ascites.
  • There is no loss of consciousness.

NIC

Cardiac Care
  • Evaluation of chest pain (intensity, location, duration).
  • Note the presence of cardiac dysrhythmias.
  • Note the reduction in signs and symptoms of cardiac putput.
  • Monitor cardiovascular status.
  • Monitor respiratory status that indicates heart failure.
  • Monitor the abdomen as an indicator of decreased perfusion.
  • Monitor fluid balance.
  • Monitor any changes in blood pressure.
  • Monitor the patient's response to the effects of antiarrhythmic treatment.
  • Set exercise and rest periods to avoid fatigue.
  • Monitor the patient's activity tolerance.
  • Monitor the presence of dyspnea, fatigue, tachypnea and orthopnoea.
  • Suggest to reduce stress.

Vital Sign Monitoring
  • Monitor BP, pulse, temperature, and RR.
  • Note the fluctuations in blood pressure.
  • Monitor VS when the patient is lying down, sitting, or standing.
  • Auscultation of blood pressure in both arms and compare.
  • Monitor BP, pulse, RR, before, during, and after activity.
  • Monitor the quality of the pulse.
  • Monitor the presence of pulsus paradoxus and pulsus alterans.
  • Monitor the number and monitors the heart rhythm and heart sounds.
  • Monitor respiratory rate and rhythm.
  • Monitor lung sounds, abnormal breathing patterns.
  • Monitor temperature, color, and moisture.
  • Monitor peripheral cyanosis.
  • Monitor the presence of Cushing's triad (widened pulse pressure, bradycardia, increased systolic).
  • Identify the cause of vital sign changes.

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