00029 Decreased cardiac output

image_pdfDownload PDF

00029 Decreased cardiac output

Definition of the NANDA label

Decreased cardiac output is the state in which the amount of blood pumped by the heart is inadequate to meet the metabolic demands of the body.

Inadequate blood pumped by the heart to meet the metabolic demands of the body.

The defining characteristics, related factors, NOC and NIC of the NANDA diagnosis “Decreased cardiac output” are detailed below.

Defining characteristics

Alteration of:

1) Heart rate or rhythm

  • Arrhythmias (tachycardia, bradycardia).
  • Palpitations.
  • ECG changes.

2) The preload

  • Distension of the jugulars.
  • Fatigue.
  • Edema.
  • Whispers.
  • Increase or decrease in PVC.
  • Increase or decrease in wedge pressure in the pulmonary artery.
  • Weight gain.

3) Afterload

  • Shortness of breath, dyspnea.
  • Oliguria.
  • Extension of hair filling time.
  • Decreased peripheral pulses.
  • Variations in blood pressure reading.
  • Increase or decrease in systemic vascular resistance.
  • Increase or decrease in pulmonary vascular resistance.
  • Changes in skin color.

4) Contractility

  • Crackles.
  • Cough.
  • Orthopnea, paroxysmal nocturnal dyspnea.
  • Cardiac output & lt; 4 l / min.
  • Cardiac index & lt; 2.5 l / min.
  • Decrease in ejection fraction, ejection volume index, left ejection volume index.
  • S3 or S4 sounds.

Behavioral / emotional

  • Anxiety.
  • Agitation.

Related factors

  • Alteration of:
  • The heart rate or rhythm.
  • Of the ejection volume.
  • Contractility.
  • From the preload.
  • From afterload.

Associated condition

  • Alteration in afterload
  • Alteration in contractility
  • Alteration in heart rate
  • Alteration in heart rhythm
  • Alteration in preload
  • Alteration in stroke volume


  • Peripheral tissue perfusion.
  • Tissue perfusion: abdominal organs.
  • Status of vital signs.
  • Effectiveness of the heart pump.
  • Circulatory state.
  • Circulatory state.


  • Cardiac care.
  • Management of cardiac shock.
  • Hemodynamic regulation.
  • Circulatory Care: mechanical assist device.
  • Circulatory care: venous insufficiency.
  • Vital signs monitoring.
  • Intravenous therapy.
  • Embolism care: peripheral.
image_pdfDownload PDF