Patient maintains optimal tissue perfusion to vital organs, as evidenced by strong peripheral pulses, normal ABGs, alert LOC, and absence of chest pain. Early detection of cause facilitates prompt, effective treatment.
The following are the common goals and expected outcomes for Ineffective Tissue Perfusion. Patient identifies factors that improve circulation.
Patient identifies necessary lifestyle changes. Assessment Rationales Assess for signs of decreased tissue perfusion. Particular clusters of signs and symptoms occur with differing causes.
Evaluation provides a baseline for future comparison. Assess for probable contributing factors related to temporarily impaired arterial blood flow. Some examples include compartment syndrome, constricting cast, embolism, indwelling arterial catheters, positioningthrombusand vasospasm.
Early detection of the source facilitates quick, effective management. Review laboratory data ABGs, BUN, creatinine, electrolytesinternational normalized ratio, and prothrombin time or partial thromboplastin time if anticoagulants are utilized for treatment.
Blood clotting studies are being used to conclude or make sure that clotting factors stay within therapeutic levels.
Gauges of organ perfusion or function.
Irregularities in coagulation may occur as an effect of therapeutic measures. Cardiopulmonary Check respirations and absence of work of breathing.
Nevertheless, abrupt or continuous dyspnea may signify thromboembolic pulmonary complications. Cerebral Check rapid changes or continued shifts in mental status.
In addition, it is directly related to cardiac output. Stable BP is needed to keep sufficient tissue perfusion. Medication effects such as altered autonomic control, decompensated heart failurereduced fluid volume, and vasodilation are among many factors potentially jeopardizing optimal BP.
Monitor higher functions, as well as speech, if patient is alert. Indicators of location or degree of cerebral circulation or perfusion are alteration in cognition and speech content. Gastrointestinal Examine GI function, noting anorexia, decreased or absent bowel sounds, nausea or vomiting, abdominal distension, and constipation.
Decreased blood flow to mesentery can turn out to GI dysfunction, loss of peristalsisfor example. Problems may be potentiated or provoked by utilization of analgesics, diminished activity, and dietary changes.Nov 26, · Ineffective Tissue Perfusion: Peripheral, Renal, Gastrointestinal, Cardiopulmonary, Cerebral NANDA Definition Decrease resulting in the failure to nourish the tissues at the capillary level.
Ineffective tissue perfusion results from inadequate blood flow to an area's tissues. This lesson will define the condition, cover risk factors. Ineffective peripheral tissue perfusion related inflammatory response secondary to cellulitis as evidence by faint doppler pulses in the lower extremities and patient’s complaint of pain when walking.
Good goals for peripheral tissue perfusion would be capillary refill. Myocardial perfusion during long-term angiotensin-converting enzyme inhibition or β-blockade in patients with essential hypertension.
Hypertension. ; – Ineffective Tissue Perfusion: Decrease in oxygen, resulting in failure to nourish tissues at capillary level.
Blood is a connective tissue comprised of a liquid extracellular matrix termed as blood plasma which dissolves and suspends multiple cells and cell fragments.
It carries oxygen from the.