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    Ineffective Tissue Perfusion

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    Clariz Basco
    The patient has ineffective tissue perfusion related to decreased hemoglobin concentration as evidenced by pallor. The patient's hemoglobin level is 124, which is below the normal range of 140-180. The goal of nursing intervention is for the patient to have effective tissue perfusion after 8 hours. Specifically, the patient will have increased capillary refill after 4 hours and will not experience dizziness or breathlessness after 2 hours of nursing intervention. Nursing interventions include monitoring vital signs, measuring urine output, encouraging ambulation, and advising the patient to eat iron-rich foods and rest.

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    Ineffective Tissue Perfusion

    Uploaded by

    Clariz Basco
    4K views4 pages
    The patient has ineffective tissue perfusion related to decreased hemoglobin concentration as evidenced by pallor. The patient's hemoglobin level is 124, which is below the normal range of 140-180. The goal of nursing intervention is for the patient to have effective tissue perfusion after 8 hours. Specifically, the patient will have increased capillary refill after 4 hours and will not experience dizziness or breathlessness after 2 hours of nursing intervention. Nursing interventions include monitoring vital signs, measuring urine output, encouraging ambulation, and advising the patient to eat iron-rich foods and rest.

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    Nursing Care Plan

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    ineffective tissue perfusion.docx

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    The patient has ineffective tissue perfusion related to decreased hemoglobin concentration as evidenced by pallor. The patient's hemoglobin level is 124, which is below the normal range of 140-180. The goal of nursing intervention is for the patient to have effective tissue perfusion after 8 hours. Specifically, the patient will have increased capillary refill after 4 hours and will not experience dizziness or breathlessness after 2 hours of nursing intervention. Nursing interventions include monitoring vital signs, measuring urine output, encouraging ambulation, and advising the patient to eat iron-rich foods and rest.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views4 pages

    Ineffective Tissue Perfusion

    Uploaded by

    Clariz Basco
    The patient has ineffective tissue perfusion related to decreased hemoglobin concentration as evidenced by pallor. The patient's hemoglobin level is 124, which is below the normal range of 140-180. The goal of nursing intervention is for the patient to have effective tissue perfusion after 8 hours. Specifically, the patient will have increased capillary refill after 4 hours and will not experience dizziness or breathlessness after 2 hours of nursing intervention. Nursing interventions include monitoring vital signs, measuring urine output, encouraging ambulation, and advising the patient to eat iron-rich foods and rest.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NURSING DIUAGNOSIS

    INEFFECTIVE TISSUE PERFUSION RELATED TO DECREASED HEMOGLOBIN CONCENTRATION IN THE BLOOD AS EVIDENCED BY PALLOR OBJECTIVE: Pallor Pale conjunctiva Body weakness Hemoglobin: 124 (normal: 140- 180)

    ANALYSIS

    GOAL AND OBJECTIVE

    NURSING INTERVENTION

    RATIONALE

    EVALUATION

    Decrease GOAL INDEPENDENT: intravascular volume After 8 hours of -monitor vital signs Nursing intervention, patient will be able Decrease in cardiac to have an effective output tissue perfusion -measure urine output on a regular OBJECTIVE basis antidiuretic hormone aldosterone secretion -after 4 hours of nursing intervention the patient will be able to have increase capillary refill -after 2 hour of nursing intervention the patient will not experience DOB -encourage ambulation

    -to have a baseline data

    Was the patient able to have an effective tissue perfusion? YES__ NO__WHY__

    -to monitor patients hydration

    -promotes venous circulation

    Was the patient able to have increase capillary refill? YES__NO__WHY__ Was the patient dont experience DOB? YES__ NO__ WHY__

    -promote adequate fluid intake

    - prevents stasis of the body fluids

    increase volume, increase heart rate force of contractions

    -advised to eat iron rich foods -provide a quiet environment

    -for blood production -for patient to have rest periods

    increase cardiac output

    continue loss of volume

    DEPENDENT -administer medications as needed -drugs use to improve tissue perfusion

    decrease cardiac output COLLABORATIVE -review specific -specific nutrients are needed to meet

    decrease tissue perfussion

    dietary changes with client

    the needs of the patient

    HEALTH TEACHING PLAN


    Learning Objective Learning Content Rationale Method Resourc es Evaluation

    GOAL After 8 hours of Nursing interventi on, patient will be able to have an effective tissue perfusion OBJECTI VE -after 4 hours of nursing interventi on the patient will be able to have

    IPAALAM ANG ANG MGA PARAAN UPANG MAKAMIT ANG MAGANDANG NUTRISYON: Uminom ng maraming tubig Kumain ng mga gulay Ugaliing mag eherisiyo kahit maglakad Wag magpapagod at panatilihiin ang pagkakaroon ng sapat na pahinga

    Recitation Discussion Money Visual aids Doing this interventions will promote tissue perfusion

    Time and effort of the students

    increase capillary refill -after 2 hour of nursing interventi on the patient will not experienc e DOB

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