6 Nursing intervention for child with cardiac disorders:
Nursing Interventions
1- Assess heart rate and blood pressure.
2-Note skin color, temperature, and moisture.
3 - Check for peripheral pulses, including capillary
refill.
4-Inspect fluid balance and weight gain. Weigh
patient regularly prior to breakfast.
5-Monitor electrocardiogram (ECG) for rate,
rhythm, and ectopy.
6-Provide adequate rest periods
Rational
1-Most patients have compensatory tachycardia
and significantly low blood pressure in response to
reduced cardiac output.
2-Cold, clammy, and pale skin is secondary to a
compensatory increase in sympathetic nervous
system stimulation and low cardiac output and
oxygen desaturation.
3-Weak pulses are present in reduced stroke
volume and cardiac output. Capillary refill is
sometimes slow or absent.
4-Compromised regulatory mechanisms may
result in fluid and sodium retention; Weight is an
indicator of fluid balance.
5-Cardiac dysrhythmias may occur from low
perfusion, acidosis, or hypoxia. Tachycardia,
bradycardia, and ectopic beats can further
compromise cardiac output. Older patients are
especially sensitive to the loss of atrial kick in
atrial fibrillation.
6-Rest decreases metabolic rate, decreasing
myocardial and oxygen demand