Scribd Logo
Upload

Welcome to Scribd!

    • 21 views

    Nursing Care Plan 2

    Uploaded by

    Fiona Xandra San Juan
    The nursing care plan addresses ineffective tissue perfusion in a client after surgery. It involves assessing for signs of decreased perfusion like weak pulses and cool extremities, maintaining vital signs and urine output, assisting with testing, anticipating treatments like embolectomy or fluids, properly positioning, and reporting changes to administer oxygen as needed. The goal is for the client to have stable vital signs and warm extremities with normal pulses and urine output.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Nursing Care Plan 2

    Uploaded by

    Fiona Xandra San Juan
    21 views2 pages
    The nursing care plan addresses ineffective tissue perfusion in a client after surgery. It involves assessing for signs of decreased perfusion like weak pulses and cool extremities, maintaining vital signs and urine output, assisting with testing, anticipating treatments like embolectomy or fluids, properly positioning, and reporting changes to administer oxygen as needed. The goal is for the client to have stable vital signs and warm extremities with normal pulses and urine output.

    Original Description:

    Nursing care Plan for nursing students

    Original Title

    NURSING CARE PLAN 2

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The nursing care plan addresses ineffective tissue perfusion in a client after surgery. It involves assessing for signs of decreased perfusion like weak pulses and cool extremities, maintaining vital signs and urine output, assisting with testing, anticipating treatments like embolectomy or fluids, properly positioning, and reporting changes to administer oxygen as needed. The goal is for the client to have stable vital signs and warm extremities with normal pulses and urine output.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    21 views2 pages

    Nursing Care Plan 2

    Uploaded by

    Fiona Xandra San Juan
    The nursing care plan addresses ineffective tissue perfusion in a client after surgery. It involves assessing for signs of decreased perfusion like weak pulses and cool extremities, maintaining vital signs and urine output, assisting with testing, anticipating treatments like embolectomy or fluids, properly positioning, and reporting changes to administer oxygen as needed. The goal is for the client to have stable vital signs and warm extremities with normal pulses and urine output.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN

    ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTING EVALUATIING


     Subjective Ineffective tissue After performing  Independent After performing
    - None perfusion related to nursing interventions, nursing interventions,
    surgical procedure the client will be able 1. Assess for signs the client was be able
    to of decreased to:
     Objective tissue perfusion 1. Have BP within
    - Weak peripheral 1. Have BP within 2. Assess for normal range
    pulses normal range possible and stable with
    - Cool extremities and stable with causative factors position change
    - No urine output position change related to 2. Extremities
    - Core temp; 34.5 2. Extremities temporarily warm with no
    C warm with no impaired arterial pallor and
    pallor and blood flow. cyanosis
    cyanosis 3. Monitor quality 3. Palpable
    3. Palpable of pulses peripheral
    peripheral 4. Maintain pulses
    pulses optimal cardiac 4. Urine output at
    4. Urine output at output least 30 ml/ hr
    least 30 ml/ hr 5. Assist with
    diagnostic
    testing as
    indicated
    6. Anticipate need
    for possible
    embolectomy,
    heparinization,
    vasodilator
    therapy,
    thrombolytic
    therapy and
    fluid rescue
    7. Position
    properly
    8. Report changes
    in ABGs.
    Administer
    oxygen as
    needed.

    You might also like