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Endocarditis (Clinical Manifestations (Low grade fever, Chills, Weakness,…

- - - - NURSING DX 1: decreased cardiac output r/t altered heart rhythm, valvular insufficiency, and fluid overload
        goal: maintain adequate tissue and organ perfussion
        Interventions:
        1-auscultate heart sounds and report any abnormal sounds as soon as they develop.
        2- plan patient's activities to avoid fatigue and increase myocardial workload
        3- assess skin temperature- cool, clammy skin may indicate decreased cardiac output
        4- teach patient to report chest pain, palpitations, weakness.
        5-monitor and report LOC to detect cerebral hypoxia possibly resulting from decreased cardiac output.
    - - NURSING DX 3: Impaired comfort related to illness symptoms including generalized weakness, arthralgia, anorexia, and/or expressed anxiety and frustration concerning prolonged intravenous antibiotic therapy
        GOAL: 1. Performs activities to minimize adverse changes in physical and emotional functioning
        Interventions:
        1- Provide prompt attention to call bells which should always be within reach to promote patient trust.
        2- Determine sources of discomfort to increase comfort.
        3- Avoid unnecessary exposure, drafts, overheating, or chilling to control fever symptoms.
        4- Facilitate hygiene measures to keep the individual comfortable
        5- Position patient to facilitate comfort (e.g., using principles of body alignment, supporting with pillows, supporting joints during movement, and immobilizing painful body parts.