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ACTIVITY INTOLERANCE Cardiovascular System

Specific exercise interventions with cardiac disease will be formulated by the physical therapist. The following examples pertain to the scope of nursing only.
Related to:	-	Congestive heart failure
	-	Coronary artery disease
	-	Angina pectoris
	-	Hypertension
	-	Peripheral vascular disease
	-	Recent (type of surgery) (date)
Evidenced by:	-	Dyspnea with exertion (respirations – per minute).
	-	Chest pain with activity of _______________________.
	-	Elevated BP (specify) and heart rate (specify) with activity of _______________.
Resulting in:	-	Inability to perform:
		- ADLs (specify).
		- Ambulate > ____ feet.

	INTERVENTION
-	Instruct participant ________ x weekly in medication regimen as prescribed by M.D., especially prn medications for chest pain.
-	Assist participant ________ x weekly in formulating a daily schedule of self-care activities.
-	Instruct participant ________ x weekly in energy conservation measures.
-	Nurse to assess cardiac and respiratory status ________ x weekly and report changes to primary M.D.
-	Nurse to assess heart rate and BP before and after group exercise at Center ________ x weekly.
	OBJECTIVES/DESIRED OUTCOMES
-	Respirations to be within normal range ( ___ – ___ breaths per minute) with activity.
-	Participant will be able to ambulate as modified (specify) without chest pain.
-	Participant will be able to perform ADL’s (specify) without chest pain.
-	Participant will demonstrate use of energy conservation techniques while at Center as evidenced by (taking rest periods between activities).
-	BP will decrease to (specify) and heart rate will decrease to (specify) with activity of __________________________.
-	Participant will be able to ambulate as modified > ___ feet without chest pain.

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