Professional Documents
Culture Documents
NCP Icu
NCP Icu
Fluid volume excess After 12 hours of nursing 2. Monitor and record vital After 12 hours of nursing
related to compromised intervention, the patient will signs intervention, the patient
regulatory mechanism stabilizefluid volume as have stabilizedfluid volume
evidenced by: 3. Assess possible risk as evidenced by:
Objective: factors
INTERVENTIONS
01 November 2021
1. Assess patient’s
Risk for Decreased After 12 hours of nursing After 12 hours of nursing
condition
cardiac output r/t altered interventions the patient will interventions the patient
afterload (e.g., systemic be able to display 2. Monitor and record vital have displayed
vascular resistance) hemodynamic stability as hemodynamic stability as
evidenced by: signs evidenced by:
3. Encourage patient to
Subjective Cues:
verbalize concerns
“ Nanghihina pa rin ako” as
verbalized by the patient. 4. Administer oxygen via
face mask or nasal
8. Encourage patient to
engage in divertional
AFP Vision 2028: “A world-class Armed Forces, Source of National Pride
activities
output.
10. Administer
medications as
ordered such as
antiplatelet agents,
thrombolytics, and/or
antibiotics as
ordered.