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Activity Intolerance Related To Amenia

The nursing diagnosis was activity intolerance related to anemia. Interventions included assessing the patient's ability to perform activities of daily living and monitoring vital signs during and after activity. The nurse also suggested changing positions slowly, providing assistance with activities as needed, and instructing the patient to stop if symptoms of intolerance occurred. The rationale was that anemia results in the heart and lungs working harder to supply oxygen to tissues, which can cause dizziness, fainting, and increased risk of injury with activity. The evaluation was to monitor laboratory values and vital signs and see if they remained within normal ranges and to report any increase in activity tolerance and ability to perform activities of daily living.
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0% found this document useful (0 votes)
2K views1 page

Activity Intolerance Related To Amenia

The nursing diagnosis was activity intolerance related to anemia. Interventions included assessing the patient's ability to perform activities of daily living and monitoring vital signs during and after activity. The nurse also suggested changing positions slowly, providing assistance with activities as needed, and instructing the patient to stop if symptoms of intolerance occurred. The rationale was that anemia results in the heart and lungs working harder to supply oxygen to tissues, which can cause dizziness, fainting, and increased risk of injury with activity. The evaluation was to monitor laboratory values and vital signs and see if they remained within normal ranges and to report any increase in activity tolerance and ability to perform activities of daily living.
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Activity Intolerance Related To Amenia

NURSING DIAGNOSIS INTERVENTIONS RATIONALE EVALUATION Assess patient ability to Influences choice of Activity Report an increase perform ADLs interventions and needed Intolerancerelated to in activity assistance. Monitor vital sign (Blood Anemia tolerance, Pressure, pulse, and Cardiopulmonarymanifestations including ADLs. respirations) during and after result from attempts by the Demonstrate a activity heart and lungs to supply Suggest client change position adequate amounts of oxygen to decrease in slowly; monitor for dizziness. the tissues. physiological signs Postural hypotension or Provide or recommend of intolerance cerebral hypoxia may assistance with activities and cause dizziness, fainting, and pulse, respirations, ambulation as necessary, and BP remain allowing client to be an active increased risk of injury. participant as much as Although help may be within clients possible. necessary, self-esteem is normal range. enhanced when client does Identify and implement Display laboratory some things for self. energy-saving techniques values (Hgb/Hct) Instruct client to stop activity Encourages client to do as within acceptable much as possible, while if palpitations,chest pain, conserving limited energy and range. shortness of breath, weakness,
ordizziness occur

Collaborative

Monitor laboratory studies, such as Hgb/Hct, RBC count, and arterial blood gases (ABGs). Provide supplemental oxygen as indicated. Administer the following, as indicated: Whole blood, packed RBCs (PRCs); blood products as indicated. Monitor closely for transfusion reactions. Prepare for surgical intervention, if indicated.

preventing fatigue. Cellular ischemia potentiates risk of infarction, and excessivecardiopulmonary strai n and stress may lead to decompensation and failure Identifies deficiencies in RBC components affecting oxygen transport, treatment needs, and response to therapy. Maximizing oxygen transport to tissues improves ability to function Increases number of oxygencarrying cells; corrects deficiencies to reduce risk of hemorrhage in acutely compromised individuals. Surgery is useful to control bleeding in clients who are anemic because of bleeding, such as in ulcers and uterine bleeding; or to remove spleen as treatment ofautoimmune hemolytic anemia. Bone marrow andstem cell transplantationmay be done in presence of bone marrow failure aplastic anemia.

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