Scribd Logo
Upload

Welcome to Scribd!

  • 96 views

    Nursing Care Plan: Al Greig S. Samedra, BSN, RN

    Uploaded by

    Al Greig
    The nursing care plan addresses a 61-year-old male patient admitted for cardiac dysrhythmia. The plan aims to maintain the patient's optimal cardiac output and prevent arrhythmias through monitoring vital signs, administering medications, teaching stress reduction techniques, and avoiding straining activities. The expected outcomes are for the patient to experience fewer dyspneic episodes, have normal pulse and blood pressure, and practice stress reduction daily.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    Nursing Care Plan: Al Greig S. Samedra, BSN, RN

    Uploaded by

    Al Greig
    96 views4 pages
    The nursing care plan addresses a 61-year-old male patient admitted for cardiac dysrhythmia. The plan aims to maintain the patient's optimal cardiac output and prevent arrhythmias through monitoring vital signs, administering medications, teaching stress reduction techniques, and avoiding straining activities. The expected outcomes are for the patient to experience fewer dyspneic episodes, have normal pulse and blood pressure, and practice stress reduction daily.

    Original Title

    Patient Care Plan

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The nursing care plan addresses a 61-year-old male patient admitted for cardiac dysrhythmia. The plan aims to maintain the patient's optimal cardiac output and prevent arrhythmias through monitoring vital signs, administering medications, teaching stress reduction techniques, and avoiding straining activities. The expected outcomes are for the patient to experience fewer dyspneic episodes, have normal pulse and blood pressure, and practice stress reduction daily.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    96 views4 pages

    Nursing Care Plan: Al Greig S. Samedra, BSN, RN

    Uploaded by

    Al Greig
    The nursing care plan addresses a 61-year-old male patient admitted for cardiac dysrhythmia. The plan aims to maintain the patient's optimal cardiac output and prevent arrhythmias through monitoring vital signs, administering medications, teaching stress reduction techniques, and avoiding straining activities. The expected outcomes are for the patient to experience fewer dyspneic episodes, have normal pulse and blood pressure, and practice stress reduction daily.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NURS ING CARE P LAN 1

    (Cardiac Dysrhythmia)
    Al Greig S. Samedra, BSN, RN

     NURSING HISTORY

    Name : HK Informant : Patient Occupation : Retired Employee


    Age : 61 Reliability : 5 (scale 1-5) Admission date : 07/15/09
    Sex : Male Race : Asian Significant others : KH (wife)

    NURSING PLAN
    ASSESSMENT INTERVENTION RATIONALE EVALUATION
    DIAGNOSIS (OUTCOME)

    SUBJECTIVE: Patient will maintain optimal After performing proactive


    cardiac output within 2 weeks nursing intervention, patient
    > “Mas madali akong hapuin
    Risk for decreased AEB: will / patient’s:
    at mahilo pagkatapos ng
    cardiac output related
    gawaing bahay” as verbalized
    to reduced stroke  Pulse with not be less □ Monitor apical and  To better detect √ Have his pulse rate &
    by the patient.”
    volume as a result of than 70 and not radial pulses at arrhythmias BP within set limits.

    electrophysiologic greater than 110 & least Q4H, and √ Skin remains warm and
    OBJECTIVE:
    problems AEB BP will not be less immediately report dry
    > Mental status: Alert,
    arrhythmias, than 110/70 and not abnormal pulse √ Experience fewer
    oriented, calm
    tachycardia and greater than 130/80 rates dyspneic episodes
    > PR: 130
    abrupt ECG changes. √ Practice stress-
    > Audible S3 □ Note pulse rhythm  Arrhythmias may
    reduction techniques
    > BP: 140/90 mm Hg at least Q4H, and indicate cardiac
    Q2H
    > Temp: 37.3 C o
    report irregularities. complications.

    ASSESSMENT NURSING PLAN INTERVENTION RATIONALE EVALUATION


    NURS ING CARE P LAN 2
    (Cardiac Dysrhythmia)
    Al Greig S. Samedra, BSN, RN

    DIAGNOSIS (OUTCOME)

    > RR: 18 cpm  Patient’s skin will □ Assess skin  Cool and clammy √ No arrhythmias are
    > (+) Dyspnea on exertion remain warm and temperature Q4H skin may indicate noted during
    > Scattered fine crackles dry. decreased cardiac monitoring or
    > ECG: output. physical examination
    of the patient
     Patient will □ Assess respiratory  Adventitious breath √ List signs and
    experience fewer status at least Q4H, sounds or dyspnea symptoms of
    dyspneic episodes report complaints of may indicate fluid decreased cardiac
    dyspnea or buildup in lungs and output (dizziness,
    restlessness. pulmonary capillary syncope, cool/
    bed clammy skin, fatigue
    & dyspnea)
    □ Administer oxygen as  To increase supply to
    ordered. myocardium

     Practice of stress-  Over exertion


    □ Plan patient’s care to
    reduction increases myocardial
    avoid over exertion
    techniques Q2H. oxygen demand

    ASSESSMENT NURSING PLAN INTERVENTION RATIONALE EVALUATION


    NURS ING CARE P LAN 3
    (Cardiac Dysrhythmia)
    Al Greig S. Samedra, BSN, RN

    DIAGNOSIS (OUTCOME)

    □ Teach & remind  To allay anxiety and √ Expresses


    patient how to avoid cardiac understanding of the
    perform stress- complications, importance of
    reduction techniques reminding them helps following prescribed
    (e.g. Deep-breathing, internalize learned diet, taking
    meditation) techniques medications and
    maintaining activity
     Absence of □ Give anti arrhythmic  To reduce/ eliminate
    level.
    arrhythmia drugs as prescribed, arrhythmias.
    √ GOAL MET.
    monitor for adverse
    effects

    □ Instruct patient to  This often causes


    avoid Valsalva bradycardia and
    maneuver (straining decreased cardiac
    for stool) and Vagal output.
    stimulating activities
    (vomiting).

    ASSESSMENT NURSING PLAN INTERVENTION RATIONALE EVALUATION


    NURS ING CARE P LAN 4
    (Cardiac Dysrhythmia)
    Al Greig S. Samedra, BSN, RN

    DIAGNOSIS (OUTCOME)

    □ Administer stool  To reduce straining


    softeners and during defecation
    prescribed.

     Verbalization of □ Teach patient about  These measures and


    reportable signs reportable symptoms let patient and care
    and symptoms& (chest pain, givers participate in
    understanding on palpitations, patient’s care and
    diet, medication weakness, dizziness); help patient make
    regimen, and prescribed diet, informed decisions
    prescribed activity medications (name, about his health
    level. dose, frequency, status.
    therapeutic & adverse
    effects) and activity
    level.

    You might also like