DIAGNOSIS Subjective Cues: Decreased Cardiac STG: Assessed for and document the ff: At the end of 8-hour N/A Output related to Occlusion in the At the end of 30- o Mental Status Cerebral perfusion is Nursing Interventions, the altered heart rate artery min Nursing directly r/t cardiac output goal was partially met as Objective Cues: and rhythm 2o MI Interventions, the and aortic perfusion evidenced by: Generalized Decreased blood client will be able pressure and is influenced paleness supply to: by hypoxia and electrolyte PR = noted Demonstrate and acid-base variation Cardiac monitoring Irregular Decreased hemodynamic o Lung sounds Crackles may develop r/t revealed slight rhythm of venous return stability (blood alterations in MI disturbance pulse noted pressure and o Blood Pressure Hypotension r/t Decreased cardiac output) hypoperfusion, vagal amount of blood by 20% – 30% as stimulation, dysrhythmias, Endorsed to the next shift expelled by revealed in the or ventricular dysfunction NOD for further ventricles cardiac monitor may occur interventions and revisions PR = o Heart Sounds Bradycardia may be present of NCP for continuity of Decreased LTG: because of vagal care cardiac output At the end of 8-hour stimulation or conduction Nursing disturbances r/t area of MI Interventions, the o Urine Output Urine output client will be able <0.5mL/kg/hrmay reflect to: reduced renal perfusion and Demonstrate glomerular filtration as a hemodynamic result of reduced cardiac stability (Blood output pressure and o Peripheral Perfusion Decreased may indicate a cardiac output) decreased cardiac output by 31%-80% as -MSN, Black and Hawks, revealed in the Vol. 2, 7th edition cardiac monitor Kept client on bed in Semi-fowler’s Facilitate oxygenation Manifest and administered high flow O2 via -NANDA, Doenges, absence of nasal cannula Moorhouse, Murr, 11th angina edition Monitored and assessed angina for Angina indicates type, severity and duration myocardial ischemia, which may decrease cardiac ouput -MSN, Black and Hawks, Vol. 2, 7th edition Administered beta-blockers and To determine effects of inotropin agents and monitored therapy their effects