Decreased blood flow to mesentery can turn out to GI dysfunction, loss of peristalsisfor example. Clients with arterial insufficiency complain of being constantly cold; therefore keep extremities warm to maintain vasodilation and blood supply.
Pay meticulous attention to foot care. Discuss lifestyle with client to see if occupation requires prolonged standing or sitting, which can result in chronic venous disease Kunimoto et al, If ICP is increased, elevate head of bed 30 to 45 degrees.
Obesity is a risk factor for development of chronic venous disease Kunimoto et al, Elevate edematous legs as ordered and Ineffective peripheral tissue perfusion that there is no pressure under the knee.
New onset of these neurological symptoms can signify a stroke. Differentiate venous from arterial disease. These reduce risk of seizure which may result from cerebral edema or ischemia.
For arterial disease, stress the importance of not smoking, following a weight loss program if client is obesecarefully controlling diabetic condition, controlling hyperlipidemia and hypertension, and reducing stress.
These reduce risk of seizure, which may result from cerebral edema or ischemia. If client has ischemic arterial ulcers, see care plan for Impaired Tissue integritybut avoid use of occlusive dressings. Problems may be potentiated or provoked by utilization of analgesics, diminished activity, and dietary changes.
If DVT is present, observe for symptoms of a pulmonary embolism, especially if there is history of trauma. It should be removed as soon as therapeutically safe.
Constant activity can further increase ICP by creating a cumulative stimulant effect. Assess client nutritional status, paying special attention to obesity, hyperlipidemia, and malnutrition. Interventions Rationales Submit patient to diagnostic testing as indicated.
With arterial insufficiency, leg elevation decreases arterial blood supply to the legs. Use soft restraints or arm boards as needed. Pneumatic compression devices can be effective in preventing deep vein thrombosis in the immobile client Hyers, 7. If good sensation is not present, refer to a footwear professional for fitting of therapeutic shoes and inserts, the cost of which is covered by Medicare.
If ulcerations are on the side of the leg, they are usually venous Renal Monitor intake, observe changes in urine output. Check for optimal fluid balance. Studies have demonstrated that thigh-high compression stockings can effectively decrease the incidence of deep vein thrombosis DVT Brock, Medication effects such as altered autonomic control, decompensated heart failurereduced fluid volume, and vasodilation are among many factors potentially jeopardizing optimal BP.
This maintains adequate oxygen saturation of arterial blood.Endothelium-Dependent and -Independent Perfusion Reserve and the Effect of l-arginine on Myocardial Perfusion in Patients With Syndrome X Morten Bøttcher, Hans Erik Bøtker. Jan 12, · Nursing Diagnosis: Ineffective Tissue Perfusion: Peripheral, Renal, Gastrointestinal, Cardiopulmonary, Cerebral NOC Outcomes (Nursing Outcomes Classification).
Ineffective tissue perfusion results from inadequate blood flow to an area's tissues. This lesson will define the condition, cover risk factors.
Nursing Care Plan Ineffective peripheral tissue perfusion - Download as Word Doc .doc /.docx), PDF File .pdf), Text File .txt) or read online.
Ineffective peripheral tissue perfusion4/4(4). 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. I was particularly looking at the goals pertaining to ineffective peripheral tissue perfusion.
So, I would say the answer to your question about it being OK to include these .Download