Anemia - Ineffective Tissue Perfusion Nursing Diagnosis and Interventions

Nursing Diagnosis for Anemia: Ineffective Tissue Perfusion related to the decrease in the cellular components required for the delivery of oxygen / nutrients to the cells. Objectives: increased tissue perfusion. Expected outcomes are: - indicates inadequate perfusion, such as stable vital signs. Ineffective Tissue Perfusion Nursing Interventions for Anemia Independent 1. Monitor vital signs assess capillary refill, color of skin / mucous membranes, nail beds. Rational: provides information about the degree / adequacy of tissue perfusion and help determine the need for intervention. 2. Elevate head of bed as tolerated. Rational: increase lung expansion and maximize oxygenation for cellular needs. Note: if there is hypotension contraindicated. 3. Monitor respiratory effort; auscultation of breath sounds adventisius note sounds. Rational: dyspnea, gurgling menununjukkan heart problems due to strain the old heart / cardiac output increased compensation. 4. Investigate complaints of chest ...