INEFFECTIVE TISSUE PERFUSION RELATED TO ANEMIA. SIGNS AND SYMPTOMS OF ANEMIA. NURSING INTERVENTIONS AND NURSING RATIONALE. PHYSICAL ASSESSMENT AND LABORATORY REPORTS.Full description
sadfghjkl
MCQs edited by Prof.Dr.Ashour Abdelsalam for master and PhD candidates in the field of histochemistry and cell biology,Medical Research Institute,Alexandria University,Egypt
laporan fisiologiFull description
Concentration: Gateway to the Celestial Arts
Memory Improvement techniques are very simple. Memory Improvement Techniques can improve your life in many techniques.
http://www.sugsar.com
Full description
Tom Holland - The Poison in the BloodFull description
Descripción: Tom Holland - The Poison in the Blood
Full description
Description complète
laws related to women
ffggnghnhnhhFull description
This document contains the list of standards related to various types of bearingsFull description
Concentration an Approach to Meditation by Ernest Wood
Patients Name: Name: P.S.C Medical Diagnosis: End Stage Renal Disease secondary to DM Nephropathy, HPT II Nursing Diagnosis: Ineffective tissue perfusion related to decreased hemoglobin concentration in the blood. Short-term Goal: After the 8 hour shift, the patient’s blood pressure and pulse rate will decrease within normal limits. Long-term Goal: At the end of the hospitalization days, the patient will show signs of increased perfusion such as absence of edema, free of pain or discomfort and etc..
Nursing Problem Ineffective tissue perfusion related to decreased hemoglobin concentration in the blood.
Scientific Reason Chronic renal disease is a progressive loss in renal function over a period of months or years. Because of this disease the blood vessels, the kidney cannot adequately produce erythropoietin that leads to decrease in Hgb and Hct count, thus resulting to anemia. Because of this, the patient manifested pale palpebral conjunctiva and paleness. Then the oxygen being supplied in the body is not enough due to decrease production of RBC by the kidney which are responsible for the oxygenation of
Intervention
Rationale
Independent:
>Establish rapport
> to gain trust and cooperation.
>monitor and record VS
> to have a baseline data
>assess patient general condition
> to have baseline data and note any abnormal findings.
> encourage quiet and restful atmosphere
> to conserve energy and lower tissue oxygen demands.
>encourage early ambulation once tolerated
> to enhance venous return
>Discourage sitting/standing for long periods, wearing constrictive clothing,
>to improve and facilitates good circulation
Evaluation Goal met. >The patient’s blood pressure and pulse rate decreased within normal limits.
tissues thus leading to ineffective tissue perfusion.
crossing legs
Reference:
>check for calf tenderness
> may indicate thrombus formation
> elevate the head of the bed, 30-45 degrees especially at night
> to increase gravitational blood flow.
>instruct to avoid strenuous activities
> to conserve energy
>restrict sodium, fluid and fat intake as indicated
>to decrease excess fluid volume
> instruct patient’s SO about food rich in iron,
> to help increase Hgb count.
>regulate IVF as ordered
>to maintain hydration
>promote adequate bed rest
>to provide adequate wellness.
Pathophysiology By Bullock
Dependent:
>Administered medication (Brochodilator) as needed.
