This is part 2 of NANDA nursing diagnoses for various disease conditions of the Cardiovascular System. Use the table of contents to jump the part you need.
Click here to see Part 1 of this series.
May be related to: cardiac dysrhythmias, heart blocks, tachydysrhythmias, decreased blood pressure, decreased cardiac output.
As evidenced by: decreased blood pressure, decreased heart rate, decreased cardiac output, changes in level of consciousness, mental status changes, cold clammy skin, cardiopulmonary arrest.
May be related to: insertion of temporary or permanent pacemaker, changes in mobility.Advertisements
As evidenced by: disruption of skin tissue, insertion site.
May be related to: pacemaker insertion or transcutaneous pacing
As evidenced by: Verbal report of pain, facial grimacing, restlessness, changes in pulse and blood pressure.
May be related to: pacemaker failure, hemothorax or pneumothorax after insertion, bleeding, lead migration, heart perforation.
As evidenced by: decreased cardiac output, hemorrhage, diaphoresis, hypotension, restlessness, dyspnea, cyanosis, chest pain, muscle twitching, hiccoughs, muffled heart sounds, jugular vein distention, pulsus paradoxus.
May be related to: pain, limb immobilization.
As evidenced by: inability to move as desired, imposed restrictions on activity, decreased muscle strength and coordination, limited range of motion.
May be related to: presence of pulse generator, loss of control of heart function, disease process.
AdvertisementsAs evidenced by: fear of rejection, fear of reaction from others, negative feelings about the body, refusal to participate in care, refusal to look at the wound.
May be related to: generalized weakness, imbalance between oxygen supply and demand.Advertisements
As evidenced by: Verbalization of fatigue or weakness, abnormal heart rate or BP in response to activity, exertional discomfort, shortness of breath, dyspnea.
May be related to: Situational crisis, multiple life changes, inadequate relaxation, inadequate support systems, unmet expectations, unrealistic perceptions, ineffective coping methods, gender differences in coping strategies.
As evidenced by: Verbalization of inability to cope or ask for help, inability to meet role expectations or basic needs, destructive behavior toward self, insomnia, muscular tension, irritability, anxiety, emotional tension, depression.
May be related to: change in health status, fear of death, threat to body image, threat to role functioning, pain.
As evidenced by: restlessness, insomnia, anorexia, increased respiration, increased heart rate, increased blood pressure, difficulty concentrating, dry mouth, poor eye contact, decreased energy, irritability, crying, feelings of helplessness.Advertisements
May be related to: lack of understanding, lack of understanding of medical condition, lack of recall
As evidenced by: questions regarding problems, inadequate follow-up on instructions given, misconceptions, lack of improvement of the previous regimen, development of preventable complications.
Click here to see Part 1 of this series
May be related to: reduced circulation and ischemia
As evidenced by: intermittent claudication, delayed wound healing, gangrene.
May be related to: decreased arterial flow occurring with atherosclerosis; acute occlusion occurring with a postsurgical graft embolus.
As evidenced by: decreased sensory or motor function, pallor or dependent rubor, audible bruits, cool, pale or bluish discoloration of the extremities.
May be related to: altered arterial circulation occurring with atherosclerotic process
As evidenced by: decreased sensory or motor function, leg or foot ulcers, pallor or dependent rubor, cool, pale or bluish discoloration of the extremities.
May be related to: unfamiliarity with the potential for infection and impaired tissue integrity caused by decreased arterial circulation
As evidenced by: questions regarding problems, inadequate follow-up on instructions given, misconceptions, development of preventable complications.
May be related to: change in health status, fear of death, threat to body image, threat to role functioning, pain.
As evidenced by: restlessness, insomnia, anorexia, increased respiration, increased heart rate, increased blood pressure, difficulty concentrating, dry mouth, poor eye contact, decreased energy, irritability, crying, feelings of helplessness.
May be related to: multiple life changes, inadequate relaxation, inadequate support systems, unrealistic perceptions, ineffective coping methods.
As evidenced by: Verbalization of inability to cope or ask for help, destructive behavior toward self, excessive smoking or drinking, chronic fatigue or insomnia, muscular tension, chronic worry, irritability, anxiety, emotional tension, depression.
May be related to: mediastinal, leg, or arm incisions, myocardial infarction, angina, inflammation, tissue damage.
As evidenced by: verbalization of discomfort or pain, restlessness, irritability, increased heart rate, increased blood pressure
May be related to: myocardial depression, dysrhythmias, electrolyte imbalances, hypovolemia, hypervolemia, myocardial infarction, coronary artery spasm, vasoconstriction, impaired contractility, alteration in preload, alteration in afterload, hypoperfusion, micro-emboli, hypoxia, damaged myocardium.
As evidenced by: elevated blood pressure, elevated mean arterial pressure greater than 120 mmHg, elevated systemic vascular resistance greater than 1400 dyne-seconds/cm5, cardiac output less than 5 L/min or cardiac index less than 2.7 L/min/m2, increased heart rate more than 110, cold, pale extremities, absent or decreased peripheral pulses, ECG changes, hypotension, S3 or S4 gallops, decreased urinary output, diaphoresis, orthopnea, dyspnea, crackle, jugular vein distention, edema, chest pain.
May be related to: inadequate ventilation, ventilation/perfusion mismatching, abnormal ABGs, pain, blood loss, atelectasis, pneumothorax, hemothorax, increased pulmonary vascular resistance, increased capillary permeability, chemical mediators, decrease in surfactant.
As evidenced by: dyspnea, increased heart rate, apnea, ventilation/perfusion mismatching, abnormal ABGs, pain, increased hemodynamic pressures, oxygen saturation less than 90%, adventitious breath sounds, hypoxia, hypoxemia.
May be related to: alteration in activity, surgical incisions, puncture wounds, drains.
As evidenced by: disruption of skin tissue, insertion sites.
May be related to: pacemaker failure, hemothorax or pneumothorax after insertion, bleeding, lead migration, heart perforation.
As evidenced by: decreased cardiac output, hemorrhage, diaphoresis, hypotension, restlessness, dyspnea, cyanosis, chest pain, muscle twitching, hiccoughs, muffled heart sounds, jugular vein distention, pulsus paradoxus.
May be related to: surgical incisions, puncture wounds, drains.
As evidenced by: disruption of skin tissue, insertion sites.
May be related to: pain, limb immobilization.
As evidenced by: inability to move as desired, imposed restrictions on activity, decreased muscle strength and coordination, limited range of motion.
May be related to: presence of scars/ wounds, loss of control of heart function, disease process.
As evidenced by: fear of rejection, fear of reaction from others, negative feelings about the body, refusal to participate in care, refusal to look at the wound.
May be related to: generalized weakness, imbalance between oxygen supply and demand.
As evidenced by: Verbalization of fatigue or weakness, abnormal heart rate or BP in response to activity, exertional discomfort, shortness of breath, dyspnea
May be related to: Situational, multiple life changes, inadequate relaxation, inadequate support systems, unmet expectations, unrealistic perceptions, ineffective coping methods, gender differences in coping strategies.
As evidenced by: Verbalization of inability to cope or ask for help, destructive behavior toward self, insomnia, muscular tension, irritability, anxiety, emotional tension, depression.
May be related to: change in health status, fear of death, threat to body image, threat to role functioning, pain.
As evidenced by: restlessness, insomnia, anorexia, increased respiration, increased heart rate, increased blood pressure, difficulty concentrating, dry mouth, poor eye contact, decreased energy, irritability, crying, feelings of helplessness.
May be related to: lack of understanding, lack of understanding of medical condition, lack of recall
As evidenced by: questions regarding problems, inadequate follow-up on instructions given, misconceptions, lack of improvement of the previous regimen, development of preventable complications.
Click here to see Part 1 of this series.
May be related to: arterial occlusion, aneurysm, dissecting aneurysm, or operative complications
As evidenced by: pulsating mass, bruits, thrills, abdominal pain, low back pain, nausea, vomiting, syncope, chest pain, cough, hoarseness, dysphagia, dyspnea, shortness of breath, pallor, loss of pulses, paresthesia, paralysis.
May be related to: pressure exerted on various structures by aneurysm, infringement on nerves, surgical procedures.
As evidenced by: pain in the abdomen, lower back, hips, scrotum, chest, shoulders, neck, and back; nausea, vomiting, increases in blood pressure, increased heart rate, facial grimacing, moaning, shortness of breath.
May be related to: edema, bedrest, surgery, pressure, altered circulation and blood flow, altered metabolic states.
As evidenced by: skin surface disruptions, incisions, ulcerations, wounds that do not heal.
May be related to: generalized weakness, imbalance between oxygen supply and demand.
As evidenced by: Verbalization of fatigue or weakness, abnormal heart rate or BP in response to activity, exertional discomfort, shortness of breath, dyspnea.
May be related to: Situational crisis, inadequate relaxation, inadequate support systems, unmet expectations, unrealistic perceptions, ineffective coping methods, gender differences in coping strategies.
As evidenced by: Verbalization of inability to cope or ask for help, destructive behavior toward self, chronic fatigue or insomnia, muscular tension, chronic worry, irritability, anxiety, emotional tension, depression.
May be related to: change in health status, fear of death, threat to body image, threat to role functioning, pain.
As evidenced by: restlessness, insomnia, anorexia, increased respiration, increased heart rate, increased blood pressure, difficulty concentrating, dry mouth, poor eye contact, decreased energy, irritability, crying, feelings of helplessness.
May be related to: lack of understanding, lack of understanding of medical condition, lack of recall
As evidenced by: questions regarding problems, inadequate follow-up on instructions given, misconceptions, lack of improvement of the previous regimen, development of preventable complications.
May be related to: complications with infected heart valves, potential for cardiac tamponade because of effusion, damaged myocardium, decreased contractility, dysrhythmias, conduction defects, alteration in preload, alteration in afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy
As evidenced by: decreased blood pressure, tachycardia, pulsus paradoxus greater than 10 mmHg, distended neck veins, increased central venous pressure, dysrhythmias, decreased QRS voltage or electrical alternans, diminished heart sounds, dyspnea, friction rub, cardiac output less than 5 L/min, cardiac index less than 2.5 L/min/m2, change in mental status, change or new cardiac murmur, arterial emboli, decreased urine output, cyanosis, cold clammy skin
May be related to: bacteremia, allergic vasculitis, arterial occlusion or infarction, abscess.
As evidenced by: body temperature greater than normal range, flushed warm skin, chills, increased heart rate, increased respiratory rate.
May be related to: inhibition of antibodies due to immunological system action, inflammatory processes due to vegetation growth, predisposition to bacteremia, septic emboli, myocardial abscess, occlusion of arteries leading to necrosis of body systems, invasive procedures and lines, dental procedures, nosocomial infections, lack of recognition of infection, lack of prophylactic treatment, suprainfection.
May be related to: history of recent dental procedures, implanted cardiovascular medical devices, chronic skin disorders and infections, burns, infectious diseases, history of previous valve surgeries or a heart transplant, calcium deposits in the mitral valve or in the aortic valve, congenital heart defects, history of endocarditis.
As evidenced by: Acute IE elevated body temperature (102104), chills, increased heart rate, fatigue, night sweats, aching joints and muscles, persistent cough, or swelling in the feet, legs or abdomen.
Chronic IE fatigue, elevated body temperature (99101), increased heart rate, weight loss, sweating, and anemia.
Also include petechiae, arthritis, arthralgia, myalgias, decreased peripheral pulses, Janeways lesions, Roths spots, Oslers nodes, lower back pain, splinter hemorrhages to subungual areas, hematuria, oliguria, anuria, chest pain, shortness of breath, dyspnea, confusion, weakness, convulsions, coma, hemiplegia, aphasia, hemiparesis, cardiac tamponade, pericardial friction rub, murmur, dysrhythmias, conduction defects, cold clammy skin, cyanosis, mental status changes, hypotension, tachycardia, decreased urinary output, increased BUN.
May be related to: change in health status, fear of death, threat to body image, threat to role functioning, pain.
As evidenced by: restlessness, insomnia, anorexia, increased respiration, increased heart rate, increased blood pressure, difficulty concentrating, dry mouth, poor eye contact, decreased energy, irritability, crying, feelings of helplessness.
May be related to: lack of understanding, lack of understanding of medical condition, lack of recall
As evidenced by: questions regarding problems, inadequate follow-up on instructions given, misconceptions, lack of improvement of the previous regimen, development of preventable complications.
Herdman, T. and Kamitsuru, S., 2018.NURSING DIAGNOSES: Definitions and Classifications 2018-2020.11th ed. New York: Thieme.
Gulanick, M. and Myers, J., 2014.NURSING CARE PLANS:Diagnoses, Interventions, and Outcomes. 8th ed. Philadelphia: Elsevier/Mosby.
Comer, S. and Sagel, B., 1998.CRITICAL CARE NURSING CARE PLANS. Englewood, CO: Skidmore-Roth Publications.
Swearingen, P., 2016.ALL-IN-ONE CARE PLANNING RESOURCE. 4th ed. Philadelphia, PA: Elsevier/Mosby.
Excerpt from:
List of NANDA Nursing Diagnosis for Cardiac Diseases (Part 2)
- Cardiac Nursing Nursing Schools - RNtoMSN - Find Top Masters in Nursing Programs ... - April 13th, 2018 [April 13th, 2018]
- Associate Degree Nursing Physiology Review - April 18th, 2018 [April 18th, 2018]
- Cardiac Nursing Nursing Schools - Find Top Masters in ... - April 26th, 2018 [April 26th, 2018]
- Cardiac Nursing | Children's Hospital of Philadelphia - April 27th, 2018 [April 27th, 2018]
- Interpret EKGs Strips Like a Boss! (ekg interpretation for ... - May 12th, 2018 [May 12th, 2018]
- Chapter 36: Cardiac Disorders Nursing School Test Banks ... - May 18th, 2018 [May 18th, 2018]
- Cardiac Nursing - 9781416029342 | US Elsevier Health Bookshop - May 28th, 2018 [May 28th, 2018]
- Cardiology and Cardiac Nursing - July 3rd, 2018 [July 3rd, 2018]
- Cardio 2018 | Cardiology Conferences | Cardiac Nursing ... - July 30th, 2018 [July 30th, 2018]
- Nursing Care Plans for Decreased Cardiac output - July 31st, 2018 [July 31st, 2018]
- Cardiovascular Nursing Education Associates - October 14th, 2018 [October 14th, 2018]
- How to Become a Cardiac Care Nurse - Salary ... - December 3rd, 2018 [December 3rd, 2018]
- Cardiac Nursing | Become a Cardiac Nurse or Advance Your ... - December 3rd, 2018 [December 3rd, 2018]
- Cardiology | How to become a Nurse Practitioner - December 7th, 2018 [December 7th, 2018]
- Cardiac Nurse: Career Education for This Nursing Profession - December 16th, 2018 [December 16th, 2018]
- Decreased Cardiac Output - Nursing Diagnosis & Care Plan ... - December 16th, 2018 [December 16th, 2018]
- Cardiac Nursing at the CICU at Children's Hospital of ... - December 16th, 2018 [December 16th, 2018]
- Cardiac Care Nurse Careers & Salary Outlook - 2018 ... - December 16th, 2018 [December 16th, 2018]
- Cardiac Vascular Nursing Certification (RN-BC) | ANCC - December 22nd, 2018 [December 22nd, 2018]
- Cardiac nursing - Wikipedia - December 23rd, 2018 [December 23rd, 2018]
- Cardiac Nurse Salary and Job Description | Cardiovascular ... - December 23rd, 2018 [December 23rd, 2018]
- Cardiovascular Nursing | CNS Careers & Education - December 23rd, 2018 [December 23rd, 2018]
- Cardiac Nursing Nursing Schools - RNtoMSN - December 23rd, 2018 [December 23rd, 2018]
- Nursing Events - Emergency Medicine and Acute Care - January 16th, 2019 [January 16th, 2019]
- Nursing Journals Impact Factor List | Nursing Open Access ... - March 6th, 2019 [March 6th, 2019]
- Cardiac-Vascular Nursing Exam Review - Overview | Online ... - March 8th, 2019 [March 8th, 2019]
- Everything You Need to Know About Cardiac Nursing ... - March 8th, 2019 [March 8th, 2019]
- Decreased Cardiac Output and Ineffective Cerebral Tissue ... - March 17th, 2019 [March 17th, 2019]
- Free Cardiac Vascular Nurse Exam Review - Test Prep - March 30th, 2019 [March 30th, 2019]
- Cardiac Nursing Careers & Salary Outlook - 2019 ... - April 17th, 2019 [April 17th, 2019]
- Cardiology Nurse: Salary, Job Duties and Requirements - April 17th, 2019 [April 17th, 2019]
- Cardiac Nurse Practitioner - Nursing License Map - April 17th, 2019 [April 17th, 2019]
- Cardiac/Vascular Nurse Exam Practice Test (2019) - Mometrix - April 17th, 2019 [April 17th, 2019]
- Cardiac Nursing - Nursing Link - April 17th, 2019 [April 17th, 2019]
- 2019 Cardiac Nursing Conference - eventbrite.com - April 17th, 2019 [April 17th, 2019]
- Role of the Cardiac Nurse | Chron.com - April 17th, 2019 [April 17th, 2019]
- Cardiac SOAP Note - nursing notebooks - April 24th, 2019 [April 24th, 2019]
- Nursing Assessment of the Cardiovascular System - May 17th, 2019 [May 17th, 2019]
- Bayshore Oktoberfest Celebration to Benefit New Emergency Care Center - Newswise - September 23rd, 2019 [September 23rd, 2019]
- Chick-fil-A Employee Performs CPR, Saves Stranger's Life: 'God Placed Me' There - Christianheadlines.com - September 23rd, 2019 [September 23rd, 2019]
- IoT Medical Devices Market 2015 Global Trend, Segmentation and Opportunities Forecast to 2023 - OnYourDesks - September 23rd, 2019 [September 23rd, 2019]
- Beats & Rhythms offers heart disease support for families - The Spokesman-Review - September 23rd, 2019 [September 23rd, 2019]
- With Assisted Living Pickups, Symphony Post-Acute Targets Wider Swath of Care Continuum - Skilled Nursing News - September 23rd, 2019 [September 23rd, 2019]
- Gastrointestinal tract 5: the anatomy and functions of the large intestine - Nursing Times - September 23rd, 2019 [September 23rd, 2019]
- Chick-fil-A employee in Calif. helps save man's life - WPTV.com - September 23rd, 2019 [September 23rd, 2019]
- Business Notebook: SEMO expands public radio reach, local church gets new name - Southeast Missourian - September 23rd, 2019 [September 23rd, 2019]
- Balancing Risks, Rewards of Targeting Higher-Acuity Residents in Skilled Nursing - Skilled Nursing News - September 23rd, 2019 [September 23rd, 2019]
- Yorkshire trust's deputy leader takes on nursing director role - Nursing Times - September 23rd, 2019 [September 23rd, 2019]
- Rural ERs see fallout from national nursing shortage - Roanoke Times - September 23rd, 2019 [September 23rd, 2019]
- Peanut butter and cardiac arrest: Diabetic inmate at Holding Center dies - Buffalo News - September 23rd, 2019 [September 23rd, 2019]
- Would you recognise a gradual-onset heart attack? - The Guardian - September 23rd, 2019 [September 23rd, 2019]
- THE BOOKWORM SEZ: Nurse explains ABCDEs of treating people - Goshen News - September 23rd, 2019 [September 23rd, 2019]
- Heartbroken family's tribute to 'brilliant dad' who died choking on food - Hull Daily Mail - September 28th, 2019 [September 28th, 2019]
- Community Rallies For Parsippany Mom Who Had Open Heart Surgery Month After Birthing 4th Baby - Daily Voice - September 28th, 2019 [September 28th, 2019]
- A look at the 40 inmates who have died at Santa Rita Jail in the last five years - KTVU San Francisco - October 2nd, 2019 [October 2nd, 2019]
- Global Cardiac Holter Monitor Market to Witness Heightened Revenue Growth During the Forecast Period 2018 2025 - Space Market Research - October 2nd, 2019 [October 2nd, 2019]
- Seahawks Support Crucial Catch Activities For Cancer Awareness And Early Detection In Collaboration With Virginia Mason, CHI Franciscan - Seahawks.com - October 2nd, 2019 [October 2nd, 2019]
- Former nurse died after accidentally taking paracetamol overdose - Isle of Wight County Press - October 2nd, 2019 [October 2nd, 2019]
- Earn More With Ancillary Services: 10 Things to Know - Medscape - October 2nd, 2019 [October 2nd, 2019]
- Medical Beds And Chairs Market to Record an Impressive Growth Rate During Forecast 2018 2026 - Space Market Research - October 3rd, 2019 [October 3rd, 2019]
- Therapy Strategies Begin to Shift Post-PDPM as Genesis Lays Off 5% of Rehab Staff - Skilled Nursing News - October 3rd, 2019 [October 3rd, 2019]
- Improving inpatient care with MHS GENESIS - Stripes Japan - October 3rd, 2019 [October 3rd, 2019]
- Alkermes Presents New Health Economics and Outcomes Research on Patients With Schizophrenia and Bipolar I Disorder at 2019 Psych Congress - PRNewswire - October 7th, 2019 [October 7th, 2019]
- 16 years fighting breast cancer takes its toll, but Gainesville couple perseveres - Gainesville Times - October 7th, 2019 [October 7th, 2019]
- Irishman in Australia: It wasnt part of the plan to end up in the emergency department - The Irish Times - October 7th, 2019 [October 7th, 2019]
- North America Smart Patient Monitoring Device Market Projected to Worth a value of USD 3729.6 Million by 2027 - Space Market Research - October 7th, 2019 [October 7th, 2019]
- Its Very Unethical: Audio Shows Hospital Kept Vegetative Patient on Life Support to Boost Survival Rates - ProPublica - October 7th, 2019 [October 7th, 2019]
- Letter: Why force qualified nurses out the door? - Greenville News - October 7th, 2019 [October 7th, 2019]
- Saeed Ghani opens 10th Chest Pain Unit of NICVD at New Karachi - UrduPoint News - October 16th, 2019 [October 16th, 2019]
- Faculty Highlights: Recent Grants and Awards | Now - Drexel Now - October 16th, 2019 [October 16th, 2019]
- Learn to save a life - Kent Online - October 16th, 2019 [October 16th, 2019]
- A Kansas Judge With No Law Degree Holds The Futures Of City Residents With Medical Debt In His Hands - Kaiser Health News - October 16th, 2019 [October 16th, 2019]
- It's Very Unethical: Audio Shows Hospital Kept Vegetative Patient on Life Support to Boost Survival Rates - Mother Jones - October 16th, 2019 [October 16th, 2019]
- Site-of-Service Medicare Reimbursement Led to More Hospital Testing - RevCycleIntelligence.com - October 16th, 2019 [October 16th, 2019]
- Englewood Health, one of last independents in region, to merge with Hackensack Meridian - NorthJersey.com - October 16th, 2019 [October 16th, 2019]
- Unions for Sacred Heart nurses and hospital workers schedule strike votes - The Spokesman-Review - October 16th, 2019 [October 16th, 2019]
- These are the 10 best nursing homes in Pennsylvania - PennLive - October 20th, 2019 [October 20th, 2019]
- Surgical nurse who helped with the 'Baby Fae' baboon heart transplant - Redlands News - October 20th, 2019 [October 20th, 2019]
- The 'Angel of Death' Who Killed the Children She Was Supposed to Save - VICE UK - November 1st, 2019 [November 1st, 2019]
- Nurse rewarded for 'beautiful' sensitivity and compassion as a student - Nursing Times - November 1st, 2019 [November 1st, 2019]