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NCP Rheumatic Heart Disease
NCP Rheumatic Heart Disease
SCIENTIFIC BACKGROUND
RATIONALE
EVALUATION
STO: goal met: patient was able to breathe within normal range and decrease feelings of chest pain.
Inadequate blood pumped by the heart to meet the metabolic demands of the body.
LTO> After 3-4 days of continuous nursing intervention, the patient will be able to decrease episodes of dyspnea, angina and dysrhythmias through proper intervention.
Early detection of changes promotes timely intervention to limit degree of cardiac dysfunction. To determine degree of assistance needed by the patient and note response to activities/inte rvention. To decrease oxygen consumption and risk of decompensat ion. To determine alterations on fluid and
LTO: goal met the patient was able to demonstrate improved breathing pattern and decreased episodes of chest pain.
electrolyte balance. To increase oxygen available for cardiac function and tissue perfusion for both mother and the baby. Decrease cardiac workload/pro vide comfort To minimize dehydration and dysrrhythmia s. Provide oxygenation.
Assist with or perform selfcare activities for the client. Provide fluid and electrolytes as indicated. EDUCATIVE: Encourage Deep breathing exercise. Instruct client to avoid stressful activities.
Can cause changes in cardiac pressures and or impede blood flow. To monitor condition and prevent