Question

Nursing care of the child with a cardiovascular disorder. I need nursing care plan

SWourSearh The rubric you will be grade by is: Medical Diagnosis: 1) Definition of medical diagnosis Etiology/pathophysiology 2) Common sign/symptoms 3) Potential complications 4) Expected assessment findings: 10 Head to toe assessment 5) Diagnostic studies/labs Normal values Expected abnormalities 10 6) All NANDA Nursing Diagnoses 7) Develop 3 NANDA Priority Nursing diagnosis 8) State patient goals/plan 10 10 nursing diagnosis 10 9) Write interventions for your plan 10) Scientific rationale for interventions 11) Write how you would evaluate your plan what potentially may need 10 revision 15 12) List of medications typical for the

Answer 1

The child will cardiovascular disorder should cared very carefully.

The major 3 nursing diagnosis are given below:

Assessment	nursing diagnosis	intervention	rationale	evalauation
Subjective data: Child may verbalizet that he/she has chest discomfort Objective data: Child may struggle to take breath normally BR: 12/min Goal: Relief from chest discomfort.	Ineffective cardiac tissue perfusion related to reduced coronary blood flow.	Assess the child's condition.(discomfort location, intensity, radiation, duration. Obtain a 12 lead ECG recording during chest discomfort. Administer oxygen as prescribed. Administer medication therapy as prescribed and evaluate the child's response continuously. Ensure physical rest: backrest can be provide, use of bedside commode.	Assessment will provide baseline data about child's condition. An ECG during symptoms may be useful in the diagnosis of on going treatment. Oxygen therapy increases the oxygen supply to the heart. Medication therapy will prevent the child from further worse. Physical rest provide comfort and relieves from discomfort.	Child may verbalize that she/ he relieved from chest discomfort. BR: 18/min

Assessment	Nursing daignosis	intervention	rationale	evaluation
Subjective data: Child may verbalize that he/she is less frequently voiding urine. Objective data: Urine output: 15ml/hr	Decreased cardiac output related to dysfunction of heart muscles.	Assess the child's condition by ascultating the heart sound, blood pressure. Monitor hemodynamic parameters to assess cardiac output, volume status. Monitor ECG pattern for cardiac dysrhythmias and ischemic changed. Measure urine output every half hour to 1 hour at first, vital signs. Provide prescribed medication.	Assessment will provide baseline data about child's condition. Rising CVP (central venous pressure) and PAWP ( pulmonary artery wedge pressure) may indicate pulmonary edema. Low pressures may indicate need of volume replacement. Taking ECG will help to rule out what the actual problem. Urine output less than 30ml/hr indicates decreased renal perfusion and may reflect decreased cardiac output. Medication like laxative will improve the quantity of urine output.	Child urine output may increase as 30/hr

Assessment	nursing diagnosis	intervention	rationale	evaluation
Subjective data: Child may verbalize that he/she has fear to play with friends due to fatigue. Objective data: Child looks dull	Activity intolerance related to decreased cardiac output and fatigue.	Assess the child's condition and level of activity. Begin with few minutes of warm-up activities. Avoid performing physical activities outside in extreme weather. Wait 2 hours after eating a meal before performing the physical activity. Stop the activity if severe shortness of breath, pain or dizziness develops. End with cool down activities and cool down period.	Assessment of child's condition will provide baseline data to render proper care. These Physical activities will improve child's activity	Child may verbalise that now he/she can play with their friends without any discomfort.