Risk for Decreased cardiac output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy
Purpose: afterload is not increased, there was no vasoconstriction, no myocardial ischemia
Nursing interventions:
- Monitor blood pressure, measured in both hands, use the cuff and proper technique.
- Note the presence, quality of central and peripheral pulses.
- Tone auscultation of heart and breath sounds.
- Observe skin color, moisture, temperature and capillary refill time.
- Note the general edema.
- Provide a quiet, comfortable, reduce the activity.
- Maintain restrictions on activities such as rest in bed / chair.
- Help the patient perform self-care activities as needed.
- Perform actions such as a comfortable back and neck massage.
- Encourage relaxation techniques, your imagination, the transfer activity.
- Monitor response to medication to control blood pressure.
- Give diet fluid and sodium restriction as indicated.
- Collaboration for the provision of drugs as indicated.
- Participate in activities that lower blood pressure.
- Maintaining blood pressure within an acceptable range.
- Showed stable cardiac rhythm and frequency.
Tidak ada komentar:
Posting Komentar