I am having trouble, I have been working on this careplan for 12 hours....
I need 3 nursing diagnosis, I have 2 and I think I may have the third, but I am having trouble with the goals for it.
My patient was admitted for unstable angina, however they are addressing her lung issues before sending her for a cardiac cath. The day I took care of her however, she had no chest pain. Clear lungs, however decreased lung sounds bilat. No cough, or sputum. She is on 2 liters o2, even at home due to her copd. No edema. She does have dyspnea on exertion. pt has hypertension, and anxiety as previous diag. Pulse is in high 90. pt did report palpitations on admission.
So the 2 I have for sure are
1. Imparied gas exchange r/t aveolar capillary membrane changes secondary to COPD
2. Activity intolerance r/t imbalance between oxygen supply and demand
Now the third I am thinking is Decreased cardiac output r/t altered heart rate/rhythm and hypertension
Goals I can't figure out, I think one could be patient will remain free of side effects from the medications used to achieve adequate cardiac output. (patient on digoxin)
If anyone can help, I would really appreciate it!!
May God bless you all!!