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Assessment:

urine output - may need catherterisation to monitor output, plus fluid balance chart.

BP - may increased as heart is working too hard. Bed rest

Pulse - may be tachycardic for same reasons as above

oxygen saturation - will probably be low, need to apply O2 therapy, and get SPO2 monitor on.

Pain - morphine (opioids) will decrease pain but also cause respiratory depression.

Read More : http://nursing-diagnosis-intervention.blogspot.com/2012/05/assessment-in-patients-with-chf.html

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