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Patient: VT - Coggle Diagram

- - - - Resident Focused Outcome
        
        Resident will remain free of side effects from medications to have adequate cardiac output at the end of the shift.(Ackley et al., 2008)
        
        Interventions (Ackley et al., 2008)
        
        Nurse will recognize signs of decreased cardiac output such as looking for SOB, fatigue, edema, coughing, clammy skin. (Ackley et al., 2008)
        
        Nurse will monitor for orthostatic hypotension and daily weights, and intake and output. (Ackley et al., 2008)
        
        Nurse will monitor the pulse oximetry and administer oxygen as needed per the health care providers order. (Ackley et al., 2008)
        
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  - - - Resident Focused Outcome
        
        Resident will maintain normal serum potassium, sodium, calcium, and phosphorus at the end of the shift. .(Ackley et al., 2008)
        
        Interventions (Ackley et al., 2008)
        
        Nurse will monitor urine output to ensure patient is not having any fluid retention. (Nurse Labs, 2023)
        
        Nurse will Identify the resident at risk or the cause of the hyperkalemia such as excessive intake of potassium or decreased excretion. (Nurse Labs, 2023)
        
        Nurse will monitor for signs of metabolic alkalosis such as tachycardia, dysrhythmias, hypoventilation, tetany, and changes in mentation. (Nurse Labs, 2023)
        
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  - - - Resident Focused Outcome
        
        Resident will demonstrate the ability to perform pursed-lip breathing and controlled breathing to help manage respiratory status. (Ackley et al., 2008)
        
        Interventions (Ackley et al., 2008)
        
        Nurse will monitor respiratory rate, depth, and respirations throughout the day (Ackley et al., 2008)
        
        Nurse will note the pattern of respirations such as if the resident become short of breathe, the nurse can ask the resident if they are short of breathe and complete a tool called the Respiratory Distress Observation Scale (RDOS) (Ackley et al., 2008)
        
        Nurse will auscultate breathe sounds, and then note decreased or absent sounds, crackles, or wheezes. (Ackley et al., 2008)
  - - - Resident Focused Outcome
        
        Resident will demonstrate knowledge of appropriate diet and carbohydrate intake (Ackley et al., 2008)
        
        Interventions (Ackley et al., 2008)
        
        Nurse will obtain blood glucose before meals and snacks. (Ackley et al., 2008)
        
        Nurse will evaluate A1C levels for glucose control over previous 2 to 3 months. (Ackley et al., 2008)
        
        Nurse will evaluate residents medication regimen for medications that can alter blood glucose (Ackley et al., 2008)
        
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