Question

Cor Pulmonale care plan

Answer 1

COR PULMONALE

CorPulmonale is the condition in which right side of the heart not pumbing blood to the lungs.It is also called Right Sided Heart Failure

Nursing care plan of cor pulmonale

1.Deacreased cardiac output related to heart failure

Outcome-To improve cardiac output.

Intervention

*Continueous cardiac monitring

*Monitor for abnormal heart sounds or lung sounds every 2 hourly

*Monitor lab values like isoenzymes,creatinine,liver function tests.(To assess the condition of patient and to prevent complications)

*Assess peripheral pulse for strength and quality .(Further decrease in pulses may indicate further heart failure)

*Adminstered medications as prescribed by the doctor.(To improve cardiac function of the patient)

*Encourage patient to take small and frequent meals(Large meals increases myocardial work load)

2.Ineffective tissue perfusion related to decreased cardiac output.

Outcome-The patient attains adequate tissue perfusion.

Interventions

*Note the color and temperature of the skin.(cool,pale skin indicate decresed peripheral perfusion)

*Monitor peripheral pulse every 4th hourly.(Indicative of decreased peripheral perfusion)

*Provide warm environment(A wrm enviornment promotes vasodilation,which decreases preload and promote tissue perfusion.)

*Monitor urine output every 4 th hourly(DEcreased perfusion to the kidney result in oliguria)

*Protect the skin from trauma by applying cotton stock or fleece boots.(Poorly perfusioned skin heals slowly,if at all once injured.)

3.Imbanced nutrition related to increased metabolic needs and decreased calorie intake.

Outcome-Patient takes adequate nutrition.

Interventions

*Assess the dietry pattern of the patient(To know about the nutritional status of the patient)

*Assess the patient for weight loss(An indicator of decreased calorie intake)

*Encourage the patient to take adequate food.

*Refer to dietician to plan the diet of the patient.

*Monitor food intake of patient daily(to assure that the patient gets adequate nutrition)

4.Insomnia related to pain or anxiety.

Outcome -Patient attains adequate sleep

Interventons

*Asses the sleep pattern of the patient

*Encourage the patient to express feelings and concerns(Help to reduce anxiety)

*Educate patient about treatment process(to reduce anxiety)

*Provide psychological support(to reduce anxiety and to feel loved)

*Administer pain medications(to reduce pain thereby patient get sleep)

5.Risk for impaired skin ntegrity related to decreased tissue perfusion and edema

Outcome-intact skin

Intervention

*Reposition the patient every 2nd hourly( To reduce the risk of formation of pressure ulcer)

*Provide therapuetic mattress or bed while the client is in bed(Pressure redistribution mattresses and beds are available to decrease pressure on the body.)

*Assess the skin, especially bony prominence,for redness each shift and as needed (Redness is an indicative of increased pressure to an areaand the first sign of skin breakdown.)

*Assist the client with morning care and lubricate the skin(nurse must ensure the skin is clean and has proper moistue to prevent cracking.)