Develop a nursing care plan for Decreased cardiac output due to Insufficiency of the heart to pump blood in order to meet metabolic demands related to increased blood pressure

The patient chart reads.

The patient is a 65-year-old male weighing 65 kg recovering stroke patient.

Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM

Home Medications:

Aspirin 80 mg/tab 1 tab once a day

Atorvastatin 80 mg/tab 1 tab at bedtime

Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day Digoxin 0.5 mcg/tab 1 tab once a day

Metoprolol 25 mg/tab 1 tab twice a day

Furosemide 20 mg/tab twice a day

Lactulose 30 ml at once a day, hold if BM >2/day

He was brought to the local community hospital due to difficulty of breathing and expiratory wheezes; diagnostic exams show Chest X-ray is clear and CBC shows platelet count= 145,000 and WBC= 5.0. Blood chemistry further shows SGPT=80 and CBG= 160 mg/dL. Additional orders were made as follows:

Salbutamol nebulization, 1 nebule every 8 hours Prednisone 40mg/tab twice a day

Esomeprazole 40mg once a day Monitor CBG every 4 hours

Start Regular Insulin using the following sliding scale: <180= none 181-200= 2 units/SC 201-220= 4 units/SC 221-240= 6 units/SC 241-260= 8 units/SC >280=refer

Develop a nursing care plan for Decreased cardiac output due to Insufficiency of the heart to pump blood in order to meet metabolic demands related to increased blood pressure