OBJECTIVE: Little attention has been paid to possible cardiovascular involvement in patients with chronic fatigue syndrome (CFS), although many of their symptoms and signs suggest cardiovascular dysfunction. [ncbi.nlm.nih.gov]

Assess for reports of fatigue and reduced activity tolerance. Fatigue and exertional dyspnea are common problems with low cardiac output states. Close monitoring of the patient’s response serves as a guide for optimal progression of activity. [nurseslabs.com]

Physical activity increases the demands placed on the heart; fatigue and exertional dyspnea are common problems with low cardiac output states. [nursingcareplan.blogspot.com]

See Patent foramen ovale as a cause of fatigue. The heart muscle itself is diseased - e.g. Cardiomyopathy. It is likely this is caused by mitochondrial failure so. See CFS - The Central Cause: Mitochondrial Failure and /or poor antioxidant status. [drmyhill.co.uk]

Ineffective Airway Clearance Ineffective Breathing Pattern Ineffective Coping Ineffective Therapeutic Regimen Management Ineffective Tissue Perfusion Latex Allergy Response Powerlessness Rape Trauma Syndrome Risk for Aspiration Risk for Bleeding Risk for Falls [nurseslabs.com]

Ventricular fibrillation causes cardiac output to fall to zero, and therefore leads to profound hypotension. [cvphysiology.com]

Although beating faster helps to maintain cardiac output as the stroke volume falls, a faster heart rate can be counterproductive because it allows less time for the ventricle to fill with blood after each heartbeat. [northshore.org]

Fluid is withdrawn until intrapericardial pressure falls below right atrial pressure, usually to subatmospheric levels. [merckmanuals.com]

[…] ventricle, with subsequent engorgement of the systemic veins, producing pitting edema, enlargement of the liver, and ascites. low-output heart failure Forward failure syndrome, low cardiac output syndrome A clinical condition in which the cardiac output falls [medical-dictionary.thefreedictionary.com]

Pulses are weak with reduced cardiac output. * Assess fluid balance and weight gain. Compromised regulatory mechanisms may result in fluid and sodium retention. [nursingcareplan.blogspot.com]

Furthermore, people with decreased heart output may also experience orthopnea, weight gain, dizziness and confusion. Anxiety, weakness and tiredness are also some of the symptoms that can appear when this heart disorder is in the question. [ic.steadyhealth.com]

Inspect fluid balance and weight gain. Weigh patient regularly prior to breakfast. Check for pedal and sacral edema. Compromised regulatory mechanisms may result in fluid and sodium retention. [nurseslabs.com]

If the latter, the patient may complain of weight gain, ankle swelling, or a bloating sensation). Nocturnal cough ( pink frothy sputum) or wheeze. Light-headedness or syncope. Anorexia. [patient.info]

Patients with symptomatic constrictive pericarditis (eg, with dyspnea, unexplained weight gain, a new or increased pleural effusion, or ascites) and those with markers of chronic constriction (eg, cachexia, atrial fibrillation, hepatic dysfunction, pericardial [merckmanuals.com]

Clinical features include hypotension, tachycardia, dyspnea, clammy skin, trachea deviated away from side of pneumothorax, lack of breath sounds and hyperresonance on the affected side. [clinicaladvisor.com]

Abstract: The purpose of this review is to discuss the management of the low cardiac output syndrome (LCOS) following surgery for congenital heart disease. [eurekaselect.com]

Therefore, it is even expectable that congenital heart disease and myocardial infarction will cause the heart to malfunction and pump less amounts of blood per minute. [ic.steadyhealth.com]

KEYWORDS: Cardiogenic shock; Congenital heart disease; Heart failure; Intensive care; Neonates; Vasoactive [ncbi.nlm.nih.gov]

Abstract In 42 children with congenital heart disease coagulation factor levels were studied serially during the first 20 hours following cardiopulmonary bypass surgery. [jcp.bmj.com]

Low cardiac output was defined as metabolic acidosis (pH 2 mmol/L, or base excess -5), oliguria (urine output CONCLUSIONS: Splanchnic and/or renal hypoxemia as detected by near-infrared spectroscopy may not be an accurate indicator of low cardiac output [ncbi.nlm.nih.gov]

Oliguria can reflect decreased renal perfusion. Diuresis is expected with diuretic therapy. * Assess for chest pain. [nursingcareplan.blogspot.com]

Oliguria is a classic sign of decreased renal perfusion. Assess heart sounds for gallops (S 3, S 4 ). S 3 indicates reduced left ventricular ejection and is a class sign of left ventricular failure. [nurseslabs.com]

[…] level of consciousness Cool peripheries, mottled peripheries and delayed capillary refill time Hypotension Tachycardia or bradycardia Thready pulse Raised jugular venous pressure Breathlessness and hypoxaemia Evidence of pulmonary and peripheral edema Oliguria [clinicaladvisor.com]

Renal compensation for reduced perfusion results in diminished glomerular filtration, causing oliguria and subsequent renal failure. [emedicine.medscape.com]

Restlessness is noted in the early stages; severe anxiety and confusion are seen in later stages. * Assess heart rate and blood pressure. [nursingcareplan.blogspot.com]

Furthermore, people with decreased heart output may also experience orthopnea, weight gain, dizziness and confusion. Anxiety, weakness and tiredness are also some of the symptoms that can appear when this heart disorder is in the question. [ic.steadyhealth.com]

Other Nursing Diagnoses Activity Intolerance Acute Confusion Acute Pain Anxiety Caregiver Role Strain Constipation Chronic Pain Decreased Cardiac Output Deficient Fluid Volume Deficient Knowledge Diarrhea Disturbed Body Image Disturbed Thought Processes [nurseslabs.com]

Clinical features of the condition Fatigue, confusion, agitation and/or decreased level of consciousness Cool peripheries, mottled peripheries and delayed capillary refill time Hypotension Tachycardia or bradycardia Thready pulse Raised jugular venous [clinicaladvisor.com]

Classification Acute and chronic Heart failure has traditionally been described as acute or chronic but this can be confusing and should be used to describe time, rather than severity. [patient.info]

Furthermore, people with decreased heart output may also experience orthopnea, weight gain, dizziness and confusion. Anxiety, weakness and tiredness are also some of the symptoms that can appear when this heart disorder is in the question. [ic.steadyhealth.com]

[SVO2], cardiac output) * Arrhythmias, electrocardiogram (ECG) changes * Rales, tachypnea, dyspnea, orthopnea, cough, abnormal arterial blood gases (ABGs), frothy sputum * Weight gain, edema, decreased urine output * Anxiety, restlessness * Syncope, dizziness [nursingcareplan.blogspot.com]

Acute decrease of blood pressure can result in the shock syndrome, whereas long-term reduction leads to lethargy, fatigue, weakness, dizziness, fainting and other symptoms. [news-medical.net]

The patient says he experienced an acute onset of dizziness, and “everything went black real fast.” [emsworld.com]

A decline in higher cortical function may indicate diminished perfusion of the brain, which leads to an altered mental status ranging from confusion and agitation to flaccid coma. The heart plays a central role in propagating shock. [emedicine.medscape.com]

Hypoventilation can be caused by altered mental status such as overdose, sedation, intoxication, postictal states, head trauma, or stroke, or by a tiring CHF patient. [medicscribe.com]

The AHA defines patients as unstable if any of the following are present: 17 Hypotension; New-onset altered mental status; Signs of shock; Ischemic chest discomfort; Acute heart failure. [emsworld.com]

Six hours after calcium initiation, A-V oxygen saturation difference decreased by 7.4 % (32.6 2.1 to 25.2 2.0 %, p 0.001), rSO2 increased by 5.5 % (63.1 vs 68.6 %, p 0.001), and serum lactate decreased by 0.9 mmol/l (3.3 vs 2.4 mmol/l, p 0.001) with no [ncbi.nlm.nih.gov]

§ Lactate 2mmol/L § Base deficit -4 mmol/L correlates with inadequate tissue oxygenation and increased morbidity. · Impaired oxygen delivery also leads to •Low mixed venous oxygen saturation (SvO 2 ) and central venous oxygen saturation (ScvO 2 ) • [clinicaladvisor.com]