concept map 3.docx - Goal Evaluation Mahmoud Hazime...

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Mahmoud Hazime NUR 3010 Fall 2018: Dr. Carter Concept Map template Concept Map 3 Congestive Heart Failure Nursing Diagnoses: Excess fluid volume related to retention of fluid AEB SOB, dyspnea 8/10, adventitious lung sounds, edema, and alterations in blood pressure. 2. Fatigue related to sleep deprivation and stressors AEB tiredness, lethargy, and insufficient energy. 3. Readiness for enhanced nutrition related to need to improve nutritional intake and status AEB verbalization of the desire to improve nutritional status. Outcomes: The patient will demonstrate hemodynamic stability by end of shift. The patient will demonstrate adequate oxygenation and ventilation. The patient will demonstrate balanced fluid intake and output. Vitals/ Focused Assessment SOB: dyspnea 8/10 with exertion HR: 112 BP: 166/86 Respiratory rate: 23 Heart sounds: S1, S2, S3 gallop, no bruits, radial pulses: regular 3+, popliteal pulses: 3+, DP pulses: 3+, Edema bilaterally +3 pitting.
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  • Fall '16
  • Tara Walker
  • Cardiology, Atherosclerosis

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