Holy Angel University

School of Nursing and Allied Medical Sciences

NCM-114 RLE / Second Semester, SY 2022 - 2023

Nursing Care Plan

Assessment Nursing Scientific Plans Interventions Rationale Evaluation

Diagnosis Explanation
Subjective: Decreased cardiac Short-Term Goal: Independent Independent Short Term
Decreased cardiac output is a state in 1. Monitor heart 1. Low cardiac output
- The client output r/t which your heart After 2 hours of nursing rate and blood can stimulate the Goal Met:
verbalized Hypertension aeb doesn’t pump interventions, the sympathetic nervous After 2 hours of nursing
BP of 150/100 pressure. system. This is done
“Mataas talaga enough blood to client's blood pressure
mmHg to compensate for the interventions, the
ang BP ko kaya supply your organs will decrease to within low cardiac output and client's blood pressure
ako nag and tissues with normal range of 120/80 can result in increased decreases to within the
memaintenance adequate oxygen. mmHg. heart rates and initially normal range of 120/80
ng gamot para It can be a risk of an increased blood mmHg.
sa prisyon ko” heart surgery or Long-Term Goal: pressure.
- The client complication of Goal Partially Met:
stated that he heart disease. After 2 weeks of 2. Encourage the After 2 hours of nursing
has not yet Decreased cardiac nursing interventions, 2. Promote rest and patient to balance interventions, the
taken his output can lead to the client will activity balance periods of rest with client's blood pressure
medication a rapid heart rate, demonstrate improved appropriate levels of decreases, but it
maintenance. as your heart cardiac output and activity to prevent remains slightly
works harder to try management of excessive fatigue and elevated above the
to pump more hypertension, as optimize cardiac normal range (e.g.,
Objective: blood. Some other evidenced by function. 130/90 mmHg).
- Blood pressure symptoms can maintaining blood
of 150/100 include low blood pressure within normal 3. Proper adherence Goal Unmet:
mmHg pressure, range and adherence to 3. Educate the client to the treatment plan After 2 hours of nursing
confusion, cool prescribed treatment about the significantly reduces interventions, the
- Dry lips and extremities, and plan including importance of the risk of client's blood pressure
mouth, and poor fatigue (Yetman, medication, lifestyle proper adherence to cardiovascular remains elevated and
skin turgor 2023). modifications, and the treatment plan events such as heart does not decrease to
follow-up appointments. such as attack, stroke, and within the normal range
heart failure. of 120/80 mmHg.
maintenance.
Long term
4. The ability to
4. Inform the client control blood Goal Met:
about the benefits pressure is achieved After 2 weeks of
 Holy Angel University
School of Nursing and Allied Medical Sciences
NCM-114 RLE / Second Semester, SY 2022 - 2023

of a balanced by consuming a nursing interventions,

nutritional diet with nutritionally balanced the client consistently
controlling blood diet that is low in maintains blood
sodium, cholesterol, pressure within the
pressure.
and saturated fats. normal range, adheres
to the prescribed
5. High blood treatment plan
5. Educate the pressure can be including medication,
client about reduced by effective implements
stress stress management recommended lifestyle
and by promoting a modifications, and
management
healthy lifestyle. attends follow-up
appointments as
scheduled.
6. Provide Health 6. Educate the
Teaching on patient about the
Goal Partially Met:
importance of
lifestyle After 2 weeks of
maintaining a
modifications and nursing interventions,
healthy diet low in
the importance of the client demonstrates
sodium, engaging
it some improvement in
in regular physical
managing hypertension
activity, managing
and adheres to aspects
stress, and
of the treatment plan,
avoiding smoking
such as medication
and excessive
compliance or lifestyle
alcohol
modifications.
consumption to
However, the client
help control
may still experience
hypertension and
occasional fluctuations
improve cardiac
in blood pressure or
output.
may miss some follow-
up appointments.
Dependent:
Dependent: 7. Antihypertensive
7. Administer Goal Unmet:
medications work by
antihypertensive After 2 weeks of
lowering blood
medications as nursing interventions,
pressure, which is
prescribed. the client continues to
essential for reducing
exhibit elevated blood
the workload on the
pressure levels despite
heart and improving
 Holy Angel University
School of Nursing and Allied Medical Sciences
NCM-114 RLE / Second Semester, SY 2022 - 2023

cardiac output adherence to the

treatment plan,
8. Administer diuretics 8. Monitor fluid including medication
as prescribed. intake and output, and lifestyle
and administer modifications. The
diuretics as client may also miss
prescribed to help follow-up appointments
manage fluid volume or demonstrate
and reduce preload resistance to certain
on the heart, thereby aspects of the
improving cardiac treatment regimen.
output.
Interdependent:
Interdependent:
9. Work collaboratively
9. To develop and
with physicians,
implement a
pharmacists,
comprehensive care
dietitians, and other
plan tailored to the
healthcare
patient's individual
professionals
needs and treatment
goals.
10. Schedule
regular follow-up 10. To assess the
appointments and patient's progress,
monitoring sessions adjust treatment as
needed, and
reinforce education
on self-management
strategies for
hypertension and
decreased cardiac
output.
 Holy Angel University
School of Nursing and Allied Medical Sciences
NCM-114 RLE / Second Semester, SY 2022 - 2023

References:
Yetman, D. (2023). What are the Symptoms of Decreased Cardiac Output? Healthline. https://www.healthline.com/health/heart-disease/decreased-cardiac-

output-symptoms#bottom-line
 Holy Angel University
School of Nursing and Allied Medical Sciences
NCM-114 RLE / Second Semester, SY 2022 - 2023