Nursing Diagnosis Rationale Intervention Rationale Evaluation

Decreased Cardiac Output Decrease in fluid Independent:

Related to Blood Loss as volume/significant blood loss - Changes in VS indicates Goal met:
evidenced by low blood pressure leads to a decrease in cardiac - Monitor VS continuously changes in patient’s status. After 8hours of nursing
of 90/60 mmHg. output which will cause severe every 15mins for the 1st - Elevating patient’s lower intervention, the patient was able
drop in blood pressure. hour and every 30mins for extremities promotes venous to maintain normal vital signs and
Subjective data: the next hour. return. the bleeding is reduced.
- Age: 27 “Schematic Diagram” - Elevate lower extremities - Low circulating blood
- Patient claimed of soaked (Trendelenburg Position) volumes are a major
vaginal pad Intermittent uterine atony - Observe for bleeding and contributor to hypotension.
Hx: hypotension
- GDM Continued uterine - Medication increases cardiac
- Has 1 miscarriage, 1 living bleeding Dependent: contractions to help systemic
Child - Administer IVF D5LR fluid and cardiac circulation
Bleeding pools and as ordered by the - Ensure adequate volume by
Objective data: develops blood clots physician. administrating IV fluids and
- Significant Blood loss noted replacing blood loss.
- Blood clots Loss of blood volume
BP: 90/60 Drop in blood pressure
Goal: Decrease in cardiac
Within 8hrs of nursing intervention output
the patient will maintain normal
vital signs and bleeding is
reduced.