Inadequate tissue perfusion can be a diagnosis, a sign and a symptom that one or more organs of the body are beginning to fail due to a lack of oxygenated blood either reaching an organ or fully circulating through an organ or body system. Adequate lactation is maintained as evidenced by continued breastfeeding of 2-3 hours with nursing 10-15 minutes, no nipple compli-cations. Ct perfusion is a functional imaging technique, providing quantitative data on tissue perfusion by acquiring graphs of blood flow (bf), blood volume (bv), and permeability surface (ps) evaluation of anterior mediastinal solid tumors by ct perfusion: a preliminary study. Start studying ineffective tissue perfusion learn vocabulary, terms, and more with flashcards, games, and other study tools.
If the problem is ineffective tissue perfusion, your goals should be reflective of adequate tissue perfusion your stg is a good one if your diagnosis is acute pain your long term goal is good if you are using one of the respiratory diagnoses. Nursing care plan assessment actual/ abnormal cues: -client verbalized pain on right leg -pulse rate of 64 bpm -elevated creatinin level of indicating decreased blood flow to the kidney -elevated troponin i indicating damage to the heart nursing diagnosis ineffective peripheral tissue perfusion related to interruption of arterial blood flow as evidenced by claudication, weak pulse, elevated. Ineffective tissue perfusion related to decreased hemoglobin concentration in blood rationale hemoglobin is a complex proteiniron compound in the blood that carries oxygen to the cells from the lungs and carbon dioxide away from the cells to the lungs.
Ineffective tissue perfusion as a result of peripheral artery disease can lead to decreased oxygenation of distal tissues and potential organ dysfunction the nurse can set goals for the patient while he is being treated for his condition. Assess site of impaired tissue integrity and determine etiology (eg, acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer) prior assessment of wound etiology is critical for proper identification of nursing interventions (van rijswijk, 2001. 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. Promote cerebral tissue perfusion (interventions per orders, as this can differ depending on kind of stroke, location, and other factors) this prevents additional neurological damage facilitate safe swallowing: ensure bedside swallow screening completed and/or speech therapy assessment prior to oral intake. Altered renal tissue perfusion for optimal cell functioning the kidney excrete potentially harmful nitrogenous product-urea, creatinine, uric acid but because of the loss of kidney excretory functions there is impaired excretion of nitrogenous waste product causing in increase in laboratory result of bun, creatinine, uric acid level.
Ineffective tissue perfusion related to increased intracranial pressure definition meningitis is an inflammation of the lining of the brain (arachnoid and piamater. The research reviewed in this article suggests that impaired tissue perfusion due to abnormality of the microvascular system is common among the conventional cardiovascular risk factors, including hypertension, diabetes, obesity, and dyslipidemia. Haemodynamic optimization is a daily preoccupation in the ward, emergency department, operating theatre, and critical care unit optimizing tissue perfusion does not simply mean improving arterial pressure, cardiac output, or both, but rather delivering oxygen from the lungs to the mitochondria in amounts adequate to sustain required metabolism. Decreased tissue perfusion can be transient with few or minimal consequences to the health of the patient if the decreased perfusion is acute and protracted, it can have devastating effects on the patient.
Nursing diagnosis ineffective tissue perfusion (cardiac) related to myocardial injury and potential pulmonary congestion as evidenced by decrease in bp, dyspnea, dysrhythmias, peripheral edema, and oliguria. The nursing diagnosis of ineffective fetal tissue perfusion the basis for the entire nursing care of the patient is a nursing diagnosis potter and perry (2005) define a nursing diagnosis as a clinical judgment about an individual, family, or community response to actual and potential health problems or life processes (p 300. Try these: ineffective tissue perfusion: peripheral related to interruped venous flow secondary to prolonged immobility then think about what types of things you can do as a nurse to improve the patient's circulation so the peripheral tissues are better perfused.
Ineffective tissue perfusion results from inadequate blood flow to an area's tissues this lesson will define the condition, cover risk factors that can lead to ineffective tissue perfusion, and. Nursing diagnosis for heart failure : ineffective tissue perfusion related to decrease in cardiac output, tissue hypoxemia, acidosis and possible thrombus or embolism definitions: decreased oxygen delivery, the failure to feed the tissue at the capillary level. Perfusion imaging in clinical practice: a multimodality approach to tissue perfusion analysis (online access included) continuous, perfusion bioprocessing is not really new, and has been used for decades for commercial biologic manufacture, including blockbuster monoclonal antibodies.