Nursing Care Plan Builder
Choose a diagnosis and get the full five-column scaffold — assessment, NANDA-I diagnosis in PES format, SMART outcome, NIC interventions with rationale, and evaluation — ready to adapt to your patient.
1. Assessment data
Dyspnea on exertion, orthopnea, crackles, JVD, 3+ pitting edema, weight up 3 kg, BNP > 400
2. NANDA-I diagnosis (PES)
Decreased cardiac output related to altered contractility AEB EF 25%, S3 gallop, SBP 92 mmHg
3. NOC outcome (SMART)
SpO2 >= 92% on <= 2 L NC within 24 h; weight loss >= 1 kg/24 h until euvolemic
4. NIC interventions with rationale
- Elevate HOB 30-45 degrees - reduces preload and improves diaphragmatic excursion
- Titrate O2 to SpO2 >= 92% - corrects hypoxemia
- IV loop diuretic with strict I&O, daily weight, K+ and creatinine monitoring - reduces preload safely
- Continuous cardiac monitoring - HF patients are arrhythmia-prone
- Teach daily weights: call for 2 lb overnight or 5 lb weekly gain - prevents readmission
5. Evaluation
By day 3: SpO2 95% on room air, net negative 4 L, lungs clear, patient states 3 warning signs. Outcomes met.
This scaffold is a teaching aid. Replace every column with your own patient's assessment data before submitting or using it in practice.