Question

List the interdisciplinary interventions for each of the following nursing diagnoses related to chronic heart failure. o Decreased cardiac output o Excessive fluid volume o Activity intolerance o Ineffective health maintenance o Deficient community health

Answer 1

decreased cardiac output

• first of all check the pulses, edema, capillary refill to determine the circulation status of the body.
• check for any changes in the status related to decreased cardiac output.
• monitor to detect cardiac decomposition
• inform physician about the activity and progression.

excessive fluid volume

• first of all administer all the prescribed diuretics
• then check for the effect of diuretics for the effective treatment.
• for the detection of excessive electrolyte loss, check the potassium levels after dieresis.
• proper monitoring of the intake and output of the fluid status.
• check for weight fluctuations on a regular basis.

activity intolerance

• encourage rest for the reduce cardiac workload.
• encourage for the activities that relax the body to relieve dyspnea.
• monitor the patient's oxygen response for self care.
• guide patient and provide therapists for the physical exercise program.