Saturday, September 22, 2012

Activity Intolerance related to imbalance between supply and demand of oxygen

Nursing Intervntions for Heart Failure

Nursing Diagnosis : Activity intolerance related to imbalance between supply and demand of oxygen

Goals / Criteria results:
  • Clients can perform daily activities with good
Expected outcomes:
  • Participating in physical activity with blood pressure, pulse, respiration appropriate
  • Normal skin color, warm and dry
  • Said the importance of activity gradually
  • Expressing the sense of the importance of balancing exercise and rest
  • Tolerance activity
Interventions:
  • Determining the cause of intolerance activity and determine whether the cause of the physical, psychological / motivation.
  • Assess the suitability of activity and rest everyday.
  • Increased activity gradually, allow clients to participate can change position, moving & self-care.
  • Make sure the client change positions gradually.
  • Monitor activity intolerance symptoms.
  • When helping clients stand, observation intolerance symptoms such as nausea, pallor, dizziness, impaired consciousness and vital signs.
  • Perform ROM exercises if the client can not tolerate activity.
Rational:
  • Determining the cause can help determine intolerance.
  • Prolonged bedrest can contribute to activity intolerance.
  • Increased activity helps maintain muscle strength, tone.
  • Bedrest in the supine plasma volume causes postural hypotension and syncope →
  • Vital signs in response to orthostatic very diverse.
  • Inactivity contributes to muscle strength and joint structure.

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