ASESSMENT DIAGNOSIS SCIENTIFIC PLANNING IMPLEMENTATIO RATIONALE EXPLANATION

EXPLANATION N

Subjective: INCREASE Genetic LONGTERM 1. Determine vital 1. Provides After 2 weeks of

CARDIAC OUTPUT factor,aging OUTCOME: signs/hemodynam baseline for nursing
“Oo nga at mataas related to altered process,environm ic parameters comparison to intervation the
nga presyon ko, heart rate/rythm ent: After 2 weeks of follow trends and client has been
including
pewo medjo bumaba ↓ nursing evaluate response able to
Strain on aterial intervention the cognitive status. to intervention. report/demonstrat
na nga yan eh, dati Note vital sign
wall client will be able e decreased
160/90, nahihilo nga
↓ to response to episodes of
ako, tapos parang report/demonstrat dyspenea, angin
activity/procedure
ang lakas ng tibok Loss of elastic e decireased and dysrhytmias.
s and time
ng puso ko”, as ↓ episodes of required to return
verbalized by the dyspenea, angina, 2. Decreases After 2 days of
to baseline.
client. Collagen & and dysrhythmias. oxygen nursing
calcification of 2. Keep client on consumption and intervention the
arterial media SHORT TERM risk of client has been
bed or chair rest
↓ OUTCOME: decompensation. able verbalize
Objective: in position of knowledge of the
Atherosclerosis in After 2 days of comfort. In desease process,
*tachycardia intima nursing congestive state, individual risk
↓ intervention the semi-fowler’s factors, and
*exceed w/n 3 sec in client will be able treatment plan.
position is
capillary refill Narrowing of to verbalize
preferred. May
blood vessel knowledge of the
*pale ↓ disease process, raise leg 20-30 3. To note
individual risk degrees in shock effectiveness of
*restlessness Stiffness of aortic factors, and situation. medications and/or
& peripheral treatment plan. assistive devices,
arteries 3. Monitor cardiac such as implanted
↓ rhythm pacemaker/defribill
ator.
 Construction of continuously.
arterioles
↓ 4. To
promote adequate
Cardiovascular rest.
↓
4. Decrease
Tpr, pvr, cc stimuli; provide
↓ quite 5. Honesty can be
environment. reassuring when so
Impaired much activity and
myocardial o2 5. Provide “worry” are
workload on psychological apparent to the
myocardialo2 client.
support. Maintain
consumption
↓ calm attitude, but
admit concerns if
Dyspnea on questioned by the 6. to reduce risk for
exertion client. orthostatic
ventricular hypotension.
hypertrophy 6. Encourage
chestpain changing
positions slowly,
↓ dangling legs
before standing.
Cardiac
7.To achieve
decopensation
desired effect w/o
compromising
↓ COLLABORATIVE:
hemodynamic
Myocardial 7. Use sedation readings.
infaration cardiac and analgesics, as
indicated, with
failure caution.