Obese patients encounter poor circulation in adipose tissue, which can create increased hypoxia in tissue Rolstad, Irregularities in coagulation may occur as an effect of therapeutic measures.
Clients with arterial insufficiency complain of being constantly cold; therefore keep extremities warm to maintain vasodilation and blood supply. The patient will experience optimal lung expansion in upright position.
If client is receiving anticoagulant therapy, see Ineffective Protection. This improves myocardial perfusion. Note skin color and feel temperature of the skin. Observe for signs of deep vein thrombosis, including pain, tenderness, swelling in the calf and thigh, and redness in the involved extremity.
Occlusive dressings should be used with caution in clients with arterial ulceration because of the increased risk for cellulitis Cahall, Spence, Record urine specific gravity as necessary.
Exercise therapy should be the initial intervention in nondisabling claudication Zafar, Farkouh, Cheebro, Nail beds usually return to a pinkish color within 3 seconds after nail bed compression Dykes, The facial covering over muscles is relatively unyielding.
Accurate diagnostic information clarifies clinical assessment and allows for more effective care. If ulcerations are on the side of the leg, they are usually venous Bates, Bickley, Hoekelman, This saturates circulating hemoglobin and increases the effectiveness of blood that is reaching the ischemic tissues.
In some clients there is a palpable, tender venous cord that can be felt in the popliteal fossa. Blood clotting studies are used to determine or ensure that clotting factors remain within therapeutic levels.
Cushioned footwear can decrease pressure on feet, decrease callus formation, and help save the feet George, ; Feldman, Sufficient fluid intake maintains adequate filling pressures and optimizes cardiac output needed for tissue perfusion.
Some examples include compartment syndrome, constricting cast, embolism, indwelling arterial catheters, positioningthrombusand vasospasm. If arterial disease is present and client smokes, aggressively encourage smoking cessation. Encourage client to walk with support hose on and perform toe up and point flex exercises.
Reduced intake or unrelenting nausea may consequence in lowered circulating volume, which negatively affects perfusion and organ function.
Check for pallor, cyanosis, mottling, cool or clammy skin. Gauges of organ perfusion or function. Measure circumference of ankles and calf at the same time each day in the early morning Cahall, Spence, Fever may be a sign of damage to hypothalamus.Jul 22, · Ineffective Tissue perfusion (specify type): cerebral, renal, cardiopulmonary, GI, peripheral Decrease in oxygen resulting in failure to nourish tissues at the capillary level.
Good goals for peripheral tissue perfusion would be capillary refill. Ineffective tissue perfusion results from inadequate blood flow to an area's tissues.
This lesson will define the condition, cover risk factors. 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. I chose Ineffective tissue perfusion first because the pt has peripheral vascular disease.
With the edema and venous stasis, it makes him more susceptible to DVT’s which can cause death or amputation/5(3).
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.Download