| A | B |
|---|
| Pt. is SOB; bilateral pedal edema | Nursing Assessment |
| Respiratory distress | Nursing Diagnosis |
| Determine interventions for patient stabilization and discharge | Planning |
| Increase pt. activity as tolerated | Interventions - Action/Delegation |
| Monitor I&O; review labs | Interventions - Review |
| Has the patients assessment changed? | Evaluation - Action |
| Are there trends in VS, O2 sats, labs? | Evaluation - Review |
| Maintain O2 saturation > 95% at rest/activity | Nursing Goal |
| Return home to care of spouse | Patient/Family Goal |
| R/O pneumonia | Admitting physician diagnosis |
