Decreased Cardiac Output Nursing Diagnosis and Care Plan

Good blood circulation indicates a good cardiac function. The heart or the cardiovascular system is the one responsible in providing normal blood circulation all throughout the body. In order for all the systems and organs to function, it needs blood which carries oxygen to have a better functioning of all the body systems.

The heart is known to supply blood all over the body systems and returning blood towards the heart itself. So the blood should be sufficient enough to be able to reach all the parts of the body and ensure that the level and also the flow is in adequate range with this it is considered to be in a good state and the body is also in a good condition.

But at times the heart is affected much and there wouldn’t be sufficient supply of blood to the body then, in such cases the body needs more of oxygenation, where there is no proper supply for the body parts then there would be this implementation the cardiac output.

Synopsis of Decreased Cardiac Output

With this cardiac output there can be many diseases that can be cured and through which there will be a good functioning of the boy parts and furthermore helps the body to be in a healthy state, without any sort of disturbance.

Through this cardiac output these are the strokes that can be saved from- the person who is suffering from hypertension, valvular heart disease, drug effects, cardiomyopathy, pulmonary disease, fluid overload, electoral imbalance and other sorts of deficiency.All these can be cured through the cardiac output.

The cardiac output is the amount of blood that is being pumped out by the heart. The amount of cardiac is computed by multiplying the heart rate, the heart beats which is measured by minutes,and the stroke volume, that is, the amount of blood which is pumped per heartbeat.

Nursing Diagnosis (Treatment) of Decreased Cardiac Output

For the Decreased Cardiac Output, the patient should be monitored in the vital signs, the blood pressure, the respiratory tract, heartbeat. With this information the patient can be under constant observation and by this it also makes the patient to get recovered by the constant observation and these signs will actually help in tracking out the root cause of the pain and also ensures us at an early stage in the prevention of the worsening of the underlying cardiac problems.

This indeed helps in making sure of the kind of treatment that should be given to the patient atg hand and open up the possible ways in making the disease to go low.

Make sure that you are keeping a record of the patient’s intake and the outtake. The breath should be noted and should be kept under observation after each implementation of the treatment.
This helps to monitor the imbalances that are caused in between and also helps to detect or indicate the decrease in cardiac output.

Ensure the intakes that the patient is taking, the amount of fluid that is getting inside the patient’s body should be monitored. Through this observation of the fluid intakes, the actual line of imbalance can be monitored. Be cautious on the fluid intake and the restrictions for the patients with decreased cardiac output. This may not be beneficial to the patients.

Identify the radiation, chest pain, and the quality of the heartbeat and the patient in his experience. With this the blood flow is actually monitored.

Decreased Cardiac Output Care Plan

Check the arterial blood gases and electrolytes levels, including potassium.
Low or high levels of potassium are harmful to health. So the levels should be accurately monitored and also the count should actually be maintained.

Monitor the laboratory tests and ensure the count of the heartbeat and also the levels of potassium which is considered to be as an important part of the treatment.
This will be helpful in knowing the actual cause of the decrease of the cardiac output and will further be helpful in making sure that the next step of the treatment and the medication will further be prescribed.

Make sure that the X rays and the ECGs are reviewed, through this the actual condition of the lungs and the heart is noted and also the medication can be given accordingly. The frequent check on this would be of a great help that will help in renewing the process and also helping out the stress that is being caused.

Monitor the howel function. Provide the stool softeners as ordered. 
The straining when defecating can lead to dysrhythmia, decreased cardiac function and sometimes it also leads to death.

In hard conditions make sure that the patient is notified that there should be the limitation in their daily activities and by this, the patient can be at rest and also makes the person be at rest, that which makes the person to keep the body parts at rest. In this way, the body parts will be good enough to function at the time needed and another excessive workload will not be of the burden to the patient.

With the increase in the work, the Heart also increases the beats and with this it makes the heart burdened, and thus it slowly weakens the functioning of the heart, and would further result in needing of more of cardiac output and also the circulation going to all parts of the body.
So, this is indeed a very stressful process, where there is much pressure made to the heart and also makes it very less effective.

Associate the person to heart failure program or cardiac rehabilitation program for the education, evaluation and guided support to increase activity and rebuild life. This indeed makes or helps the person to recognize the actual activities that are going through, and would eventually make the person to ensure the level of life that is going through.

This further makes the patient to be careful and also to realize the importance and the stress note that the person should be going through.

A thoroughly monitored exercise program can help in improving the capacity and also helps in functioning of the body and also further helps in making the activities to be in a functional way rather than disclosing the activities in a very harsh manner.

Explain the importance of smoking cessation and also help the patient to be aware of alcohol intake if the person is a drug addict, let the person be ensured that inhaling drugs can indeed make the heart more weak and also the medication may not be able to be applied on the patient’s body.

Vices do not give benefit to the heart and overall well being of the patient. This indeed marks heavy stress on the patient and the cardiac output will be of a heavy choice. Though the person is under total medication, the person should be much aware that the patient should equivalently be much responsible for the actions that the person is making up. This marks as one of the most prominent in making the diagnosis to be made in accordance with the medical procedures prescribed.

Make sure that the patient skin color and also the moisturized part of the skin. This will further enhance the impending decrease in cardiac output.
Check for patient’s peripheral pulses and capillary refill. The pulse rate should be noted and should be kept updated in every recheck of the patient body.

Presence of weak pulses and slow capillary refill can indicate decrease cardiac output which may need specific intervention.

Weigh the patient regularly prior to breakfast. This should be taken on a serious note, as this may lead to many internal conflicts and also makes the body to struggle with no accordance.
Weight gain can indicate an alteration in the blood circulation of the body. It can show extreme fluid retention which is the cause of gaining weight.

Record the urine output of the patient. This also stands one of the main course of retaining information and further helps in detecting the actual cause of the problem. Decreased urine output can be a sign of decreased perfusion going to the kidneys.

Final Words

Assess oxygen saturation with pulse oximetry both at rest and during and after ambulation. This is counted as a sign to make the keynote of the body under hard conditions.  It will detect the possible signs of decreased cardiac output through a decrease oxygen saturation level. So this sort of signs should not be ignored and further make the necessary medication possible.

Check symptoms for chest pain with or without undergoing activity or exercise. This is another great way in order to check the way the person is responding by the conditions of the body.  Chest pain often occurs if the heart is unable to meet the body’s needs for sufficient blood perfusion.


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