CUES NURSING OUTCOME NURSING RATIONALE EVALUATION DISCHARGE

DIAGNOSIS CRITERIA INTERVENTIONS PLANNING

Subjective: Innefective tissue After 8 hours of
“Gasakit akon perfusion R/T effective nursing
ulo, pamatiyagan vasoconstriction of interventions, the
ko daw malipong blood vessels as patient will
ako.” As manifested by: demonstrate
verbalized by the >Blurring of vision behaviors/
patient. >Variations in lifestyle changes
blood pressure to improve
Objective: >Edema circulation and
>Blurring of >Arrhythmias increased tissue
vision perfusion as
>Variations in evidenced by:
blood pressure >V/S within
>Edema normal limits
>Arrhythmias >Absence of
edema
>Increased LOC
V/S taken as
follows:
T- 37.1 °C
P- 78 bpm
R- 20 cpm
BP- 140/90
mmHg