Nursing Diagnosis for Coarctation of the Aorta

[nursekara513]

Hello. I have an group assignment for school. I am supposed to find 3 nursing diagnosises for coarctation of the aorta. I am having difficulting doing so. I also need to find 5 interventions with each of them also. The diagnosis and interventions are for a peds presentation

I am thinking I should do a Ineffective tissue perfusion related to decreased coronary artery perfusion and increased demand for oxygen AEB ??? (This is just a presentation and not one of my patients. So there really is no exact AEB but she said to use examples)

Also risk for injury r/t decreased blood flow to the heart AEB ??? and

Activity intolerance related to imbalance between oxygen supply and demand AEB ???

I am not sure if there would be correct or not.

[Quark09]

I'm not sure I'd use the Risk for injury; there are lots of more immediate NDs that would need attention. A good way to do these exercises is to make a "problem list" for the patient (activity intolerance, anxiety, whatever applies) and then rank the problems from most pressing to least. Then base your ND on that list.

For a child with coarctation of the aorta, what are the most common issues? ABCs... this child is going to have a lot of respiratory and circulation issues that are more pressing than a risk for injury (risk for infection is a HUGE one for cardiac peds patients; many of them land back into the hospital d/t complications from a respiratory infection).

I might choose from the following:

Decreased Cardiac Output (include murmur, cyanosis, tachypnea, arrhythmia if present)

Ineffective Tissue Perfusion

Impaired Gas Exchange r/t ventilation-perfusion imbalance AEB ... (include your subjective and objective data relating to a child with this ND)

Ineffective Breathing Pattern (include lab values)

Activity Intolerance is also a good one, as you mentioned. For the AEB - what symptoms would this child be exhibiting that would support that diagnosis? Your interventions will be related to relieving these symptoms (administering meds, repositioning, planning activities in small blocks to avoid overexertion...)

You will want to avoid writing "monitor _____" for your interventions; while this is occasionally appropriate, your interventions should be something that you, the nurse, are performing, and not something you're just keeping an eye on

Good luck!