Fdar 03/117/2021

F- Risk for decreased cardiac output related to renal failure

D- Received patient awake at bed side, “I have been feeling weak and restless”as verbalized by the
patient, with vital signs of: BP: 90/60 mm/hg PR: 69bpm RR: 25cpm T:36.5 SPO2: 95%, dyspnea noted,
capillary refill goes back slowly, with cold clammy skin,

A-Monitored vital signs and recorded, Assessed capillary refill, noted for any respiratory distress,
assessed skin characteristics, Assisted in patients ADL’s, Encourage client to report any untoward signs
and symptoms,

R- Patient adheres to health teachings