nursing diagnosis help

NIC interventions related to decreased cardiac output and tissue perfusion

include;

circulatory care: arterial insufficiency

cardiac care

hemodynamic regulation

reduce stress, plan appropriate activities, position the client for impoved vascular blood flow.

i mean hypertension but it said "decreased cardiac output" in a diagnosis handbook...

I hate coming up with nursing dx. You could try activity intolerance, knowledge deficient, ineffective therapeutic regimen management, anxiety, fear, noncompliance

Try not to think to hard about them. That's what I do and I forget about all the simple ones.

i mean hypertension but it said "decreased cardiac output" in a diagnosis handbook...

Chronic Hypertension does cause decreased cardiac output. When you increase blood pressure, the left ventricle has to work much harder (against the elevated pressure) to pump blood into the aorta, thereby decreasing stroke volume and cardiac output.

I agree with what was said above......

Don't forget the obvious....knowledge deficit is a big one!!!!!!!!!!!!!!! They can be educated on nutrition, physical activity, medications...etc!! The list goes on, and that is just as important as nursing dx, such as decreased cardiac output...and such.

Hope it helps, and good luck w/ the Care Plan

I purchased a book called Nurse's 3 Minute Clinical Reference and it is wonderful. It lists medical problems, the patho, etiology, complications, assessments a nurse would do, treatment, nursing diagnosis, goals, patient teaching, discharge planning, and resources for the client.

Nursing diagnosis for hypertension they list: ineffective tissue perfusion: cardiopulmonary, fatigue, ineffective coping, knowledge deficit, risk for noncompliance, and risk for injury.

I recommend this book to every nursing student. It has helped me a lot, especially with care plans.

Has this individual been diagnosed for a long time and were meds prescribed? Has the patient stated that he/she has not taken the meds? If you ascertain without a doubt that the patient is noncompliant with the plan of care, innefective health management would be another one. I would stay away from the dx of noncompliance because it's pretty judgmental. Either way, an NIC would be to find out why the patient is noncompliant.

You can never go wrong with Knowledge Deficit. One of my favs is "Knowledge Deficit R/T sodium intake." Your interventions are teaching sodium's effects on BP and proper food choices.

thank you everyone!

I'm a student too..so forgive me if I'm wrong:

alteration in cardiac status, r/t hypertension, aeb uncontrolled bp > 140mm systolic and 90mm diastolic......

I purchased a book called Nurse's 3 Minute Clinical Reference and it is wonderful. It lists medical problems, the patho, etiology, complications, assessments a nurse would do, treatment, nursing diagnosis, goals, patient teaching, discharge planning, and resources for the client.

Nursing diagnosis for hypertension they list: ineffective tissue perfusion: cardiopulmonary, fatigue, ineffective coping, knowledge deficit, risk for noncompliance, and risk for injury.

I recommend this book to every nursing student. It has helped me a lot, especially with care plans.

Is there a website that you could provide for this book?