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Objective: Update study through narrative review of the literature that aimed. Objective: to elaborate the conceptual and operation definitions of the 38 defining characteristics of nursing diagnoses decreased cardiac output, presented by the NANDA-I 2009-2011. Preserving the focus of identifying these characteristics in patients with acute decompensate heart failure. Method: was conduct a search of publications in books of semiotics based on evidence and articles in the database PubMed and MEDLINE. Results: the definitions developed were reviewed by three experts in cardiovascular semiology and, after evaluation and adjustments, consolidated as presented in this article. Conclusion: the relevance of this update consists in the incorporation of effective tools and concise about the concepts related to defining characteristics classified as not improved in accuracy and favoring the diagnosis of clinical reasoning

Definições conceituais e operacionais das características definidoras do diagnóstico de enfermagem débito cardíaco diminuído