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  • NCP Rheumatic Heart Disease

    Diunggah oleh

    Adrian Mallar
    34K tayangan3 halaman
    The patient presented with complaints of chest pain and palpitations. On examination, the patient had dyspnea, edema, pallor, and a prolonged capillary refill time. Vital signs showed low blood pressure and elevated heart rate. The nursing care plan addressed decreasing cardiac output related to rheumatic heart disease, with short-term and long-term goals of alleviating chest pain and shortness of breath, and decreasing episodes of dyspnea, angina, and dysrhythmias through interventions like bed rest, oxygen supplementation, monitoring vitals, and patient education.

    Deskripsi Asli:

    NURSING CARE PLAN

    Judul Asli

    NCP RHEUMATIC HEART DISEASE

    Hak Cipta

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    The patient presented with complaints of chest pain and palpitations. On examination, the patient had dyspnea, edema, pallor, and a prolonged capillary refill time. Vital signs showed low blood pressure and elevated heart rate. The nursing care plan addressed decreasing cardiac output related to rheumatic heart disease, with short-term and long-term goals of alleviating chest pain and shortness of breath, and decreasing episodes of dyspnea, angina, and dysrhythmias through interventions like bed rest, oxygen supplementation, monitoring vitals, and patient education.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    34K tayangan3 halaman

    NCP Rheumatic Heart Disease

    Diunggah oleh

    Adrian Mallar
    The patient presented with complaints of chest pain and palpitations. On examination, the patient had dyspnea, edema, pallor, and a prolonged capillary refill time. Vital signs showed low blood pressure and elevated heart rate. The nursing care plan addressed decreasing cardiac output related to rheumatic heart disease, with short-term and long-term goals of alleviating chest pain and shortness of breath, and decreasing episodes of dyspnea, angina, and dysrhythmias through interventions like bed rest, oxygen supplementation, monitoring vitals, and patient education.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 3

    ADRIAN G.

    MALLAR BSN 2 FOCUS: CHEST PAIN ASSESSMENT


    SUBJECTIVE: naninikip ang dibdib ko, verbalized by the patient. Complaints of palpitations fatigue OBJECTIVE: dyspnea Restless edema Pallor clammy skin Prolonged capillary refill oliguria Vital signs: BP: 90/60 mmhg PR: 86 bpm RR: 12 bpm o Temp: 36 C

    SCIENTIFIC BACKGROUND

    NURSING CARE PLAN RHEUMATIC HEART DISEASE DIAGNOSIS PLANNING INTERVENTION


    Decreased cardiac output related to altered myocardial contractility evidenced by mitral stenosis/accumu lation of fibrin on mitral valve. STO> After 15 minutes of nursing intervention, the patient will be able to alleviate feelings of chest pain and shortness of breath. Diagnostic: Assess potential for/ type of developing shock states.

    RATIONALE

    EVALUATION
    STO: goal met: patient was able to breathe within normal range and decrease feelings of chest pain.

    Inadequate blood pumped by the heart to meet the metabolic demands of the body.

    LTO> After 3-4 days of continuous nursing intervention, the patient will be able to decrease episodes of dyspnea, angina and dysrhythmias through proper intervention.

    Monitor vital signs frequently.

    Monitor intake and output.

    THERAPEUTIC: Keep patient on bed rest/chair rest

    Early detection of changes promotes timely intervention to limit degree of cardiac dysfunction. To determine degree of assistance needed by the patient and note response to activities/inte rvention. To decrease oxygen consumption and risk of decompensat ion. To determine alterations on fluid and

    LTO: goal met the patient was able to demonstrate improved breathing pattern and decreased episodes of chest pain.

    position of comfort. Administer oxygen supplement.

    electrolyte balance. To increase oxygen available for cardiac function and tissue perfusion for both mother and the baby. Decrease cardiac workload/pro vide comfort To minimize dehydration and dysrrhythmia s. Provide oxygenation.

    Assist with or perform selfcare activities for the client. Provide fluid and electrolytes as indicated. EDUCATIVE: Encourage Deep breathing exercise. Instruct client to avoid stressful activities.

    Reiterate importance of regular pre-

    Can cause changes in cardiac pressures and or impede blood flow. To monitor condition and prevent

    natal checkups Instruct to elevate legs when on sitting position.

    complication especially on the fetal side. To enhance venous return.

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