Name of Patient: Ahmad Al Oteibi

Nursing Diagnosis: Decreased cardiac output

related to altered heart rate and rhythm.
Assessment
(1 mark)
Subjective: (none)
Objective:

Pale conjunctiva,
nail beds, and
buccal mucosa

Irregular rhythm
of pulse

Bradycardia

Generalized
weakness

Nursing Diagnosis
(1 mark)
Decreased cardiac
output related to
altered heart rate
and rhythm.

NURSING CARE PLAN

Medical Diagnosis:
Students Name:
Congestive Heart Failure
Area:
Scientific
Explanation
(0.5 mark)
The heat fails to
pump enough blood
to meet the
metabolic needs of
the body. The blood
flow that supplies
the heart is also
decreased
therefore decrease in
cardiac output
occurs, blood then is
insufficient and
making it difficult to
circulate the blood to
all parts of the body
thus may cause
altered heart rate
and rhythm,
weakness and
paleness

Planning
(0.5 mark)
Short Term:
After 3-4 hours of
nursing
interventions, the
patient will
participate in
activities that reduce
the workload of the
heart.
Long Term:
After 2-3 days of
nursing
interventions, the
patient will be able
to display
hemodynamic
stability.

Interventions
(0.5 mark)
1. Monitor blood
pressure and pulse.

Date:
Section/Group:

Rationale
(1 mark)
1. Patients with
renal failure are
most often
hypertensive,
which is
attributable to
excess fluid and
the initiation of
the renninangiotensin
mechanism.

2. Assist the patient in

assuming a high
Fowlers position.

2. Allows for better

chest expansion,
thereby
improving
pulmonary
capacity.

3. Instruct patient to
get adequate bed rest
and sleep

3. To promote
relaxation to the
body

4. Assess patients skin

temperature and
peripheral pulses.

4. Decreased
perfusion and
oxygenation of
tissues secondary
to anemia and
pump
ineffectiveness
may lead to

Evaluation
(0.5 mark)
Short Term:
After nursing
interventions, the
patient had
participated in
activities that reduce
the workload of the
heart.
Goal was met
Long Term:
After 2 3 days of
nursing
interventions, the
patient had able to
display
hemodynamic
stability.
Goal was met.

decreased in
temperature and
peripheral pulses
that are
diminished and
difficult to
palpate.
5. Encourage periods
of rest and assist with
all activities.

5. Reduces cardiac
workload and
minimizes
myocardial
oxygen
consumption.