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Rheumatic Fever Nursing Care Guide

The document outlines nursing interventions for a patient with decreased cardiac output related to rheumatic fever. Key interventions include: 1) Closely monitoring vital signs and intake/output to detect changes in the patient's condition and determine the level of assistance needed. 2) Keeping the patient on bed rest or chair rest and administering oxygen supplements to decrease oxygen demand and risk of further cardiac dysfunction. 3) Educating the patient about deep breathing exercises, avoiding stress, regular check-ups, and elevating legs to support the heart and prevent complications.

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Joshua Villarba
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327 views3 pages

Rheumatic Fever Nursing Care Guide

The document outlines nursing interventions for a patient with decreased cardiac output related to rheumatic fever. Key interventions include: 1) Closely monitoring vital signs and intake/output to detect changes in the patient's condition and determine the level of assistance needed. 2) Keeping the patient on bed rest or chair rest and administering oxygen supplements to decrease oxygen demand and risk of further cardiac dysfunction. 3) Educating the patient about deep breathing exercises, avoiding stress, regular check-ups, and elevating legs to support the heart and prevent complications.

Uploaded by

Joshua Villarba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PRIORITIZED NURSING FOR PROBLEM FOR RHEUMATIC FEVER

Nursing Diagnosis Nursing Intervention Rationale

Decreased cardiac output Diagnostic:


related to altered  Assess potential for/  Early detection of
myocardial contractility type of developing changes promotes
evidenced by mitral shock states. timely intervention to
stenosis/accumulation of limit degree of cardiac
fibrin on mitral valve dysfunction.

 To determine degree
 Monitor vital signs of assistance needed
frequently. by the patient and
note response to
activities/intervention.

 Monitor intake and  To decrease oxygen


output. consumption and risk
of decompensation.

THERAPEUTIC:
 To determine
 Keep patient on bed
alterations on fluid
rest/chair rest position
and electrolyte
of comfort.
balance.
 Administer oxygen
 To increase oxygen
supplement.
available for cardiac
function and tissue
 Assist with or perform perfusion for both
self-care activities for mother and the baby.
the client.
 Decrease cardiac
 Provide fluid and workload/provide
electrolytes as comfort
indicated.
 To minimize
dehydration and
dysrhythmias.
EDUCATIVE:
 Encourage Deep  Provide oxygenation.
breathing exercise.

 Instruct client to avoid  Can cause changes in


stressful activities. cardiac pressures and
or impede blood flow.

 To monitor condition
 Reiterate importance
and prevent
of regular pre-natal
complication
check-ups
especially on the fetal
side.
 Instruct to elevate legs
when on sitting
position.  To enhance venous
return.
PATHOPHYSIOLOGY of Rheumatic Fever

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