Case Study: My Priority Nursing Diagnosis For E. D.

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My priority nursing diagnosis for E.D. was decreased cardiac output as evidenced by soft of breath, heart rate 59, and confusion related to altered heart rhythm and altered heart rate. Diagnosis with atrial fibrillation, short of breath when moving, confusion, cold hand and feet, activity intolerance indicate that the patient experience decreasing cardiac output which cause decreasing tissue perfusion. This was priority because it can damage the other organs and tissue, especially the brain. A goal for this patient is she will demonstrate adequate cardiac output as evidenced blood pressure, pulse rate and rhythm within normal parameters by the end of the shift. As part of my assessment I observed and monitored for characteristics of decreased cardiac output as fatigue, dyspnea, edema, decrease urine output, hypotension. …show more content…
180). Teach the direct benefit of a low- sodium diet. EB: Recommend a 2-3 gram/day sodium diet for most stable heart failure patient (Ackley & Ladwig, 2014, p. 180). My actions will be administer oxygen as needed per physician’s order. EB: Supplemental oxygen increases oxygen availability to the myocardium (Ackley & Ladwig, 2014, p. 180). I also need to place the patient in semi-Fowler’s or high Fowler’s position with legs down or in a position of comfort. EB: Elevating the head of the bed and legs in down position may decreases the work of breathing and may also decreases venous return and preload (Ackley & Ladwig, 2014, p. 180). The goal was met. The patient blood pressure and pulse were in normal range by the end of the

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