Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Help with care plan PLEASE!

Y'all, I need help please!!! I have a case study and I'm having a hard time trying to diagnose my patient. I want to to decreased cardiac output but I don't have enough information to support my diagnosis. So, would risk for decreased cardiac tissue perfusion be next?

39 y/o Male admitted to the unit with c/o CP and nausea. Wt: 200lbs, 5'5", BMI 33.3%. PMH: HTN and HLD. On antihypertensive meds for 6 months. VS: HR 95, RR 22, BP 164/90, o2: 92% on R.A. Difficulty losing weight d/t lack of time. 10lb weight loss in 4 months. Recurrent heartburn, SOb, radiating pain to torso and left arm. He is agitated and tapping his foot on the ground. He is a Wall St. analyst, lives with wife and reports marital issues.

I wanted to do decreased cardiac output, acute pain, anxiety, and ineffective health maintenance or imbalanced nutrition but I'm having trouble. Please help!

  • Quote

    • Featured Replies

    Have you referenced a nursing diagnosis handbook? That helps immensely. If you don't have one, purchase one.

  • Quote
    • Author

    Yes, I live by my NANDA book. I'm still torn at these two diagnoses.

  • Quote

    What is possibly going on here? The chest pain whether its actually cardiac or not (you dont know yet) is your priority.

    So what is happening with cardiac chest pain? There is an alteration of perfusion to an area of the heart muscle. Although trying not to completely give you the answer, there may be a valuable ndx in some of the phrasing i just said. If you want to learn or understand, think about the patho of chest pain, both ischemia and infartion.

    Then there are also clues for some long term modifiable risk factor changes that the patient can make. I think there mention should be a hint to include such ndx in your care plan.

  • Quote

    Also, what is cardiac output? Does your patient present with evidence of decreased cardiac output. Try to learn what the things are before getting puzzled on whether they fit as part of your care plan.

  • Quote
    • Author

    I wanted to do ineffective tissue perfusion but only peripheral tissue perfusion is in my NANDA book and I dont have enough data to support that. Although the related factors mimic my patient.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.