A patient is admitted with heart failure. The nurse establishes a nursing diagnosis of Decreased Cardiac Output related to ventricular dysfunction. Which parameter would the nurse evaluate as indicating that cardiac output is sufficient?
1. BP 100/48
2. Daily weight same as the day before
3. CI 1.8 L/min/m2
4. PAOP 8 mmHg
4
Rationale 1: This blood pressure measurement is low and could indicate low cardiac output.
Rationale 2: Because fluid volume overload is an underlying cause of decreased cardiac output, the goal is for the patient to lose water weight each day.
Rationale 3: Cardiac index should be between 2.0 and 3.2 L/min/m2.
Rationale 4: PAOP is a hemodynamic parameter used to monitor cardiac output. This is a normal PAOP.
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