Nursing Care Plan for Syncope (Fainting)

Pathophysiology

Syncope is essentially a loss of consciousness, which is typically caused by hypotension. The brain lacks adequate blood flow and a temporary loss of consciousness results.

Etiology

Syncope typically has a cardiac etiology, but can also be due to many other things (like a side effect from a med, neuro issue, psych issue, or lung problem). When a cardiac etiology is suspected, a cardiac workup is completed. This typically includes cardiac monitoring, labs, and routine vital signs (specifically blood pressure and heart rate).

Desired Outcome

No additional syncopal events, no injury, identification of cause and treatment to prevent further episodes

Syncope Nursing Care Plan

Subjective Data:

  • Nausea
  • Feeling cold, clammy, or warm
  • Tunnel vision
  • Blurred vision

Objective Data:

  • Vomiting
  • Loss of consciousness
  • Arrhythmias
  • Hypotension
  • Pallor
  • Bradycardia
  • Confusion/disorientation

Nursing Interventions and Rationales

  1. Prevent injury (nonskid socks, doesn’t walk without assistance, bed in lowest locked position, necessary items within reach, call bell within reach, side rails up x3)
    • Sudden loss of consciousness puts patients at a higher risk for falls and injury, therefore it would be prudent to be with the patient when OOB

  2. Educate patient to change positions slowly
    • This enables the blood pressure to accommodate to position changes and hopefully prevent future episodes

  3. Reevaluate medications, review any that may cause syncope with MD
    • BP meds may need to be spaced out, or dosages may need to be adjusted; discuss

  4. Monitor for changes in level of consciousness.
    • Monitor appropriately and notify MD if needed, promote safety

  5. Promote adequate fluid intake
    • Prevents worsening hypotension


References

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