Nursing Students Student Assist
Published Nov 29, 2007
fathernurse2b
32 Posts
Which one will you put first?
Decreased Cardiac outpur r/t decreased contractility aeb weak peripheral pulses
or
Risk for ineffective ariway clearence r/t bronchospasm
I know a acutal diagnosis should come before a risk but i say he is at risk for ineffective airway cleareance b/c he has bronchitis but his resp is even and unlabored no color changes in nailbeds, lips, buccal mucosa and his sats are 97%
Help out a fellow nursing student
Daytonite, BSN, RN
1 Article; 14,604 Posts
a care plan is a problem solving process. you solve real problems first. always, always, always. otherwise, you are not acting rationally. so, your decreased cardiac output must come first and be treated first. the fact is that your patient should be having symptoms of congestive heart failure if they have a decreased contractility problem as the symptoms of their decreased cardiac output. weak peripheral pulses are a symptom of a problem with afterload and is a problem of the heart muscle pumping mechanism. you should re-word your nursing diagnosis to read
here are two websites that have information on this diagnosis if you do not have a care plan book or nursing diagnosis book to refer to:
in any case, your sequencing still should be: