Cardio Vascular Nursing Care Plan

7/30/2019 Cardio Vascular Nursing Care Plan

1/10

ASSESSMENT NURSINGDIAGNOSIS GOAL PLANNING IMPLEMENTATION EVALUATION

Sub.data:

The mothercomplained baby

have bluish

discoloration

Obj.data:

The baby have

been cyanosis

Decreased cardiac

output related to

reduced

myocardial

functions as

evidenced by

cyanosis

Improve the

cardiac output

Assess thepatient generalcondition

Assess thenutritional

status of the

child

Administer theIV fluid

Advice toparents give

the good

nutritional food

To maintain theinput

-output

charts

Assess the patientgeneral condition

Assessed thenutritional status of

the child

Administered theIV fluids

Advised theparents give the

good nutritional

food

To maintained theinput output charts

Improved child

cardiac output


2/10


Sub.data:


have breathing

difficult

Obj.data:

The baby have

been dyspnea

Impaired gas

exchange to

disturbed

pulmonary blood

flow as evidenced

by dyspnea

To improve the

breathing and

maintained

airway clearance


Provide theappropriate

position

To administerthe

nebulization

Administer O2supply

To check thevital signs

Administer themedication


Provide theappropriate position

Administer thenebulization

Administered O2supply

Check the vitalsigns


Improved the

breathing clear the

airway


3/10


Sub.data:


have weakness

and vomiting

fatigue

Obj.data:

The baby have the

fluid loss

Deficient fluid

volume related to

active fluid

volume loss due

to vomiting and

diarrhea

Improve the

fluid intake



To encourageto the babys or

child to take

the oral fluids

To administerthe medication

Give thepsychological

support


Administered theIV fluids

Encourage to thebabys or child to

take the oral fluids



support

Administer and

encouraged to the

fluids and

maintain the fluid

& electrolyte

balance


4/10


Sub.data:


have dizziness

Obj.data:

The baby is

looking dull and

not having eye to

eye contact

In effective tissue

perfusion related

to hemorrhage &

inadequate

hemoglobin to

transport of

oxygen across

alveolus &

capillary

membrane

Improve the

oxygen level


Provide theconfortable

bed& position

To administerthe O2 supply

To maintain thebreathing &

circulation


support


Provide theconfortable bed&

position

administer the O2supply

maintain thebreathing &

circulation


support

To improve the

oxygen delivery


5/10


Sub.data:


have running nose

Obj.data:

The baby have

nose block &running nose

Rise for infection

related to chronic

illness as

evidenced by

erythema or

swelling

Reduce the

infection


Provide theconfortable

table passion


To give thenebulization

Givepsychological

support

Avoid theparenteral

anxiety


Provide theconfortable table

passion

administer themedication

administer themedication

give thenebulization

Give psychologicalsupport

Avoid theparenteral anxiety

Reduced the

running nose


6/10


Sub.data:

The mothercomplained the

baby have

weakness &

weight loss

Obj.data:

The baby haveweight loss and

delayed growth

and development

Altered nutrition

less than body

requirements

related to

excessive energy

demands required

by increasedcardiac work load

as evidenced by

weakness

Improve the

nutrition and

maintained

balance nutrition


Asses thenutritional

status of the

child

Providebalance diet

Give healtheducationabout balanced

diet

Daily weightchecking

Providepsychological

support


Asses the nutritionalstatus of the child

Provide balance diet Give health

education about

balanced diet

Daily weightchecking

Providepsychological

support

Improved the

nutrition


7/10


Sub.data:


baby have nose

block

Obj.data:

The baby have

dyspnea

Ineffective airway

clearance related

to altered level of

consciousness

Clear the airway

improve the

breathing


Provide thecomfortable

passion

Suctioningshould be done

Administer theO2

Administer thenebulization

Advice thepatient to do

coughing

exercises


Provide thecomfortable passion

Suctioning shouldbe done

Administer the O2 Administer the

nebulization

Advice the patientto do coughing

exercises

To maintain

airway and

breathing


8/10


Sub.data:


baby have fever

Obj.data:

The baby have

pyrexia

Risk for

imbalance baby

temperature

related to

inflammatory

process

To reduced the

hyper

temperature

maintain he

balance of the

temperature



passion

Administer thecold compress

and cold

sponge


Advice toparents

provides good

nutritional

support



Administer the coldcompress and cold

sponge

Administer the IVfluid

Advice to parentsprovides good

nutritional support

Reduced the hyper

temperature


9/10


Sub.data:

The mother

complained the

baby have itching

and erythema

Obj.data:

The baby have

skin integrity

Impaired skin

integrity related to

edema

diaphoresis

To maintain the

skin hygiene

Assess thepatient general

condition


passion

To maintain theskin hygiene


To advice tothe parent goal

nutritional diet


support



To maintain the skinhygiene

To administer themedication

To advice to theparent goal

nutritional diet

Give the

psychological

support

Maintained skin

hygiene


10/10


Sub.data:

The mother

complained the

child have less

activity

Obj.data:

The child have

less activity

Activity

intolerance

related to

cyanosis and

dyspnea

Improve the

activity

Assess thepatient general

condition

Provide theactive and

passive

exercises

Administer themedications

Administer theoxygen supply


Provide the activeand passive

exercises

Administer themedications

Administer the

oxygen supply

Improved the

activity

Documents

Cardio Vascular Nursing Care Plan