Friday, July 17, 2009

Is this a NANDA Nursing Diagnosis?? -

Decreased cardiac output related to hypertension. please, need help. if not what would be a good one?

No, you can t use a medical diagnosis in a nursing diagnosis (it can only be used in after quot;secondary to...quot;). So in other words, you have to rephrase the definition of hypertension in this scenario. You should say: Decreased cardiac output related to increased peripheral vascular resistance secondary to HYPERTENSION. Remember: the part following quot;related toquot; should define the medical diagnosis but in words that present it on the cellular level. Hypertension is quot;a change in the peripheral vascular resistancequot; RN

So you want to write it- decreased cardiac output R/T (fainting dizzyness-symptom of decreased cardiac output)secandary to hypertension

Check out this website: dx that you have written is a bit confusing. If the problem is decreased cardiac output, it seems it should be related to something that decreases output - like CHF, cardiomegaly, Cor pulmonale, etc. (Conditions that have to do w/ decreased cardiac output.) If the main dx is HTN - perhaps the dx should be something more like: Altered/decreased tissue perfusion r/to ...CAD, PVD, etc. (Conditions that are more related to HTN.) Hope this helps!

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