Ineffective Tissue perfusion (specify type): cerebral, renal, cardiopulmonary, GI, peripheral Decrease in oxygen resulting in failure to nourish tissues at the capillary level Defining Characteristics: Renal. You have been asked to make a nursing diagnosis, the current list of which is to be found in the NANDA-I 2012-2014. 2) Patient had sepsis from ruptured appendix, did appendectomy, on bedrest NPO, has hx of stage 3 kidney disease, htn, dm 2. Ø If cast roots altered tissue perfusion, foresee that the physician will bivalve the cast or take it out. This brings back perfusion in affected extremity. Nursing Diagnosis Care Plan (Video) Symptoms may include less urine output, weight gain, edema, restlessness, mental state alterations, changes in electrolyte levels, decrease in hemoglobin, urine specific gravity changes, and pulmonary congestion. A case of a disorder determination is a hazard for diminished heart tissue perfusion, inadequate cerebral tissue perfusion, and ineffectual fringe tissue perfusion identified with useless ventilatory weaning reaction. The primary factor for nursing diagnosis for renal failure, it is related to disturbances in the mechanism of kidney functioning. NURSING DIAGNOSIS: Altered cerebral tissue perfusion related to decreased cerebral blood flow associated with thrombus, embolus, cerebral hemorrhage, hypotension, and/or subsequent spasm or compression of cerebral vessel(s). Definitions: Decreased oxygen delivery, the failure to feed the tissue at the capillary level. Altered tissue perfusion valvular disorder altered skin pigmentation pain open ulcer presence of edema. Nursing Diagnosis for Heart Failure : Ineffective Tissue Perfusion related to decrease in cardiac output, tissue hypoxemia, acidosis and possible thrombus or embolism. Nursing Diagnosis: Ineffective Tissue Perfusion: Peripheral, Renal, Gastrointestinal, Cardiopulmonary, Cerebral ... * Renal: o Altered blood pressure o Hematuria o Decreased urine output (30 ml/hr) ... * If cast causes altered tissue perfusion, … Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable (perry 1/21/15 admitting diagnosis: The diagnosis risk for ineffective renal perfusion (00203) has been suppressed because it cannot be independently modified by nursing … Altered blood pressure outside of acceptable parameters; hematuria; oliguria or anuria; elevation in BUN/creatinine ratio; Gastrointestinal Definition: Decrease in oxygen resulting in the failure to nourish the tissues at the capillary level Source: Health Details: Nursing care planning and management for ineffective tissue perfusion is directed at removing vasoconstricting factors, improving peripheral blood flow, reducing metabolic demands on the body, patient’s participation, and understanding the disease process and its treatment, and preventing complications. Ø If compartment syndrome is alleged, arrange for surgical interventions, fasciotomy, for example. ineffective tissue perfusion (specify type) (renal, cerebral, cardiopulmonary, gastrointestinal, peripheral) a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as a state in which an individual has a decrease in oxygen resulting in failure to nourish the tissues at the capillary level. Altered renal perfusion related to ... DVT nursing diagnosis risk for impaired tissue integrity elated to. Dehydration Ineffective Tissue Perfusion – Nursing Diagnosis & Care Plan. DVT potential complications Pulmonary embolism related to. Nursing Diagnosis Ineffective peripheral tissue perfusion related to interruption of arterial blood flow as evidenced by claudication, weak pulse, elevated creatinin level.
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