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Patient complain of dyspnea if she wake - Cold sweats when changing the
up from a sleeping position position of sleep immediately seated
Diagnosis and Nursing Care Plans
Nursing Diagnosis Outcome Intervention
Acute pain related to After nursing Pain Management (1400)
tissue ischemia or interventions for 2x24 1. Monitor and assess the
blockage of the hours, the acute pain is characteristics and location of
coronary arteries resolved with the pain
outcomes criteria : 2. Monitor vital signs (blood
- Pain Control (1605) pressure, pulse)
- Pain Management 3. Create a calm and comfortable
(1843) environment
- patient relaxes 4. Teach and encourage patients
- pain scale : 0 to do relaxation techniques
- Blood Pressure : 120/80 5. Collaboration with doctors in
mmHg (normal) administering analgesics
- Pulse : 80x/minute
Nursing Diagnosis Outcome Intervention
Decreased cardiac After nursing interventions for Cardiac Risk Management
output related to 2x24 hours, the decreasing (4050)
decreased muscle cardiac output is resolved with 1. Take a blood pressure
contraction the outcomes criteria : measurement (compare your
Cardiac pump effectiveness arms in a standing position, sit
(0400) down and lie down if possible)
- patient looks enthusiastic 2. Assess the quality of the
- patient is not dyspnea pulse
- Blood Pressure : 120/80 3. auscultation of breath sounds
mmHg (normal) and heart sounds
- Pulse : 80x/minute 4. Collaboration with doctors in
- patient's temperature is examining serial EGC, chest
normal radiographs, administration of
- RR : 20x/minute anti-dysrhythmic drugs
Nursing Diagnosis Outcome Intervention
Activity intolerance After nursing Monitoring Vital Signs (6680)
(00092) is related to interventions for 2x24 Activity Theraphy (4310)
an imbalance hours, patients show 1. Record the heart rhythm,
between oxygen increased ability to carry blood pressure and pulse before
supply and demand out activities with and after carrying out the
outcome criteria : activity
- Rest (0003) 2. Encourage patients to rest
- Self Care : Daily more
Activity (0306) 3. Encourage the patient to avoid
- Blood Pressure : 120/80 an increase in abdominal
mmHg (normal) pressure for example pushing
- Pulse : 80x/minute during defecation
- RR : 20x/minute 4. Explain to the patient about
- Patient is comfortable in the stages of the activity that the
sleep patient can do