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Diagnosis Nursing Diagnoses пїЅ Decreased cardiac output related to structural issues secondary to cardiomyopathy or dysrhythmia пїЅ Ineffective cardiopulmonary, cerebral, peripheral, and renal tissue perfusion associated to decreased peripheral blood fiow пїЅ Impaired fuel exchange associated to pulmonary congestion secondary to myocardial failure пїЅ Activity intolerance related to decreased cardiac output or extreme fiuid volume, or both пїЅ Anxiety associated to the change in health standing and in position functioning пїЅ Powerlessness related to illness course of пїЅ Noncompliance with medicine and food plan therapies Collaborative Problems/Potential Complications пїЅ Heart failure пїЅ Ventricular and atrial dysrhythmias пїЅ Cardiac conduction defects пїЅ Pulmonary or cerebral embolism пїЅ Valvular dysfunction Cardiomyopathies 211 Planning and Goals the most important objectives for sufferers embrace improvement or maintenance of cardiac output, increased activity tolerance, reducC tion of hysteria, adherence to the self-care program, increased sense of power with choice making, and absence of complications. 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