Assessment Nursing Diagnosis Expected outcome Interventions
Subjective: Risk for Decreased Cardiac After nursing interventions,
“Simula nung inadmit ako output related to the patient is expected to
dahil hindi pa bumababa hypertensive (choose what is related to
ang blood pressure ko sa the identified risk):
normal range” as verbalized
by the patient.  Exhibit stability in
the cardiac rate and
rhythm
Objective  Maintain blood
 Weight gain pressure within an
 Clammy skin acceptable/stable
 Decreased range. (the range
peripheral pulses can be indicated if
 Alterations in blood there is enough
pressure readings information from
 Appears patient assessment)
restlessness  Engage in
interventions to
help decrease
cardiac load and
blood pressure
Rationale Evaluation
1. Assess vital signs, 1. Blood pressure and At the end of 8-hour
focusing on blood pulse rates are good Nursing Interventions, the
pressure and pulses indicators of cardiac goal was partially met as
and record volume and cardiac evidenced by:
output. Decreased
cardiac output and -PR = 89
irregularities in -Cardiac monitoring
blood pressure may revealed slight disturbance
also indicate
complications
brought about by Endorsed to the next shift
hypertension NOD for further
2. Thoroughly check 2. Cardiac output may interventions and revisions
for the patient’s be affected by of NCP for continuity of
laboratory results conditions other care.
such as blood cell than hypertension.
counts, ABG’s, Thoroughly
electrolytes and checking laboratory
cardiac marker data would help in
studies. planning better care
for the patient.
3. Check blood 3. Comparing blood
pressure readings pressure readings
on arms and thighs from these two sites
and record. would help
determine the
presence of
decreased cardiac
output, if any, and
its severity.
4. Help the patient to 4. This helps to
plan alternate conserve energy,
periods of rest and improve overall
 activity tissue perfusion and
reduce cardiac
5. Advise the patient demands
to limit intake of 5. To help manage and
food high in sodium maintain blood
and cholesterol pressure within an
6. Encourage patient acceptable range.
to be vigilant in the 6. Maintenance
intake of his medications for
maintenance hypertension helps
medications manage blood
pressure, improving
cardiac output and
ensuring adequate
tissue perfusion.