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.
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).
No additional syncopal events, no injury, identification of cause and treatment to prevent further episodes
Syncope Nursing Care Plan
- Feeling cold, clammy, or warm
- Tunnel vision
- Blurred vision
- Loss of consciousness
Nursing Interventions and Rationales
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
Educate patient to change positions slowly
- This enables the blood pressure to accommodate to position changes and hopefully prevent future episodes
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
Monitor for changes in level of consciousness.
- Monitor appropriately and notify MD if needed, promote safety
Promote adequate fluid intake
- Prevents worsening hypotension