Prepare for surgeryas appropriate: Pneumatic compression devices can be effective in preventing deep vein thrombosis in the immobile client Hyers, 7.
If minimum damage has taken place in the cerebral cortex, patient may be stimulated by verbal stimuli but may show drowsy or uncooperative. Administer medications as indicated: Differentiate venous from arterial disease.
Cardiovascular Administer nitroglycerin NTG sublingually for complaints of angina. Obesity is a risk factor for development of chronic venous disease Kunimoto et al, If client experiences dizziness because of orthostatic hypotension when getting up, teach methods to decrease dizziness, such as remaining seated for several minutes before standing, flexing feet upward several times while seated, rising slowly, sitting down immediately if feeling dizzy, and trying to have someone present when standing.
All of these risk factors for atherosclerosis can be modified Bright, Georgi, Hydration status and renal function are revealed by specific gravity measurements. Constant activity can further increase ICP by creating a cumulative stimulant effect.
Diminished or absent peripheral pulses indicate arterial insufficiency Harris, Brown-Etris, Troyer-Caudle, Hypertension or postural hypotension may have been a precipitating factor.
Measures overall awareness and capacity to react to external stimuli, and best signifies condition of consciousness in the patient whose eyes are closed due to trauma or who is aphasic. Administer IV fluids as ordered. Older patients are more susceptible to such drops of pressure with position changes.
Assess for pain in extremities, noting severity, quality, timing, and exacerbating and alleviating factors.
Closely assess and monitor neurological status frequently and compare with baseline. Wearing support hose helps to decrease edema. Monitor for development of gangrene, venous ulceration, and symptoms of cellulitis redness, pain, and increased swelling in an extremity.
Gastrointestinal Examine GI function, noting anorexia, decreased or absent bowel sounds, nausea or vomiting, abdominal distension, and constipation. Teach client to recognize the signs and symptoms that need to be reported to a physician e.
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.
Patient identifies factors that improve circulation. Absolute rest and quiet may be needed to prevent rebleeding in the case of hemorrhage.
Changes in rate, especially bradycardia, can occur because of the brain damage. Assessment will determine and influence the choice of interventions.Ineffective tissue perfusion results from inadequate blood flow to an area's tissues.
This lesson will define the condition, cover risk factors. 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. Deceased Cardiac Output, Ineffective Tissue Perfusion: cerebral, Disturbed Sensory Perception, visual and Deficient Fluid Volume.
You also look at the complications of the disease for things the person could be at risk for and either teach the patient how to avoid those things or develop strategies to help the patient avoid experiencing them. Here are 8+ cerebrovascular accident (stroke) nursing care plans: Ineffective Cerebral Tissue Perfusion; Impaired Physical Mobility; Impaired Verbal Communication; Disturbed Sensory Perception; Ineffective Coping; Self-Care Deficit; Risk for Impaired Swallowing; Activity Intolerance; Risk for Unilateral Neglect.
Coronary risk factors and myocardial perfusion in asymptomatic adults: the Multi-Ethnic Study of Atherosclerosis (MESA). J Am Coll Cardiol. ; – Nursing Care Plan for Ineffective Tissue Perfusion - Free download as Word Doc .doc), PDF File .pdf), Text File .txt) or read online for free. Scribd is the world's largest social reading and publishing site/5(3).Download