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Respiratory Alkalosis  is an acid-base imbalance characterized by decreased partial pressure of arterial carbon dioxide and increased blood pH. Nursing and medical management of patients with Respiratory Alkalosis requires instituting safety precautions, monitoring ABG levels and more. Read the nursing management for patients experiencing Respiratory Alkalosis. Contributing Factors: hyperventilation due to anxiety hypoxia improper mechanical ventilation fever salicylate poisoning Signs ...

NURSING DIAGNOSIS: Cardiac Output, risk for decreased Nursing Care Plan: Decreased Cardiac Output — Hypertension Nursing Care Plans Hypertension Nursing Care Plans Risk factors may include Increased vascular resistance, vasoconstriction Myocardial ischemia Ventricular hypertrophy/rigidity Hypertension Nursing Care Plans Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Hypertension Nursing Care Plans Desired Outcomes Circulation Status (NOC) Participate in activities that ...

This post contains 6 Heart Failure Nursing Care Plan (NCP) (NCPs). These Nursing Care Plan (NCP) are free to use and are suited for patients with Heart Failure. Failure of the left and/or right chambers of the heart results in insufficient output to meet tissue needs and causes pulmonary and systemic vascular congestion. This disease condition is termedheart failure (HF). Despite ...

NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self care, and discharge needs May be related to Lack of understanding/misconceptions about interrelatedness of cardiac function/disease/failure Possibly evidenced by Questioning Statements of concern/misconceptions Recurrent, preventable episodes of HF Desired Outcomes Knowledge: Disease Process (NOC) Identify relationship of ongoing therapies (treatment program) to reduction of recurrent episodes and prevention of ...

NURSING DIAGNOSIS: Skin Integrity, risk for impaired Risk factors may include Prolonged bedrest Edema, decreased tissue perfusion Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Tissue Perfusion: Peripheral (NOC) Maintain skin integrity. Demonstrate behaviors/techniques to prevent skin breakdown. 6 Heart Failure Nursing Care Plan (NCP) Decreased Cardiac Output — Heart Failure (CHF) Nursing Care Plan (NCP) ...

NURSING DIAGNOSIS: Gas Exchange, risk for impaired Risk factors may include Alveolar-capillary membrane changes, e.g., fluid collection/shifts into interstitial space/alveoli Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Respiratory Status: Gas Exchange (NOC) Demonstrate adequate ventilation and oxygenation of tissues by ABGs/oximetry within patient’s normal ranges and free of symptoms of respiratory distress. Participate ...

NURSING DIAGNOSIS: Fluid Volume excess May be related to Reduced glomerular filtration rate (decreased cardiac output)/increased antidiuretic hormone (ADH) production, and sodium/water retention Possibly evidenced by Orthopnea, S3 heart sound Oliguria, edema, JVD, positive hepatojugular reflex Weight gain Hypertension Respiratory distress, abnormal breath sounds Desired Outcomes Fluid Balance (NOC) Demonstrate stabilized fluid volume with balanced intake and output, breath sounds clear/clearing, ...

Check vital signs before and immediately after activity, especially if patient is receiving vasodilators, diuretics, or beta-blockers. Orthostatic hypotension can occur with activity because of medication effect (vasodilation), fluid shifts (diuresis), or compromised cardiac pumping function.