Nursing Interventions of Ineffective Tissue Perfusion | Nursing Diagnosis for Ineffective Tissue Perfusion
Nursing Diagnosis for Ineffective Tissue Perfusion | Nursing Interventions of Ineffective Tissue Perfusion and Rationales; Suggested NIC Interventions
Nursing Interventions of Ineffective Tissue Perfusion and Rationales
Evaluate involved extremity for clinical signs (pain, decreased temperature, pallor, delayed capillary refill, weak or absent pulse, decreased sensation, and decreased pulse oximetry) that are indicators of ineffective peripheral perfusion.
Protect the extremity from injury using sheepskin or bed cradle and position extremity at or lower than level of heart to promote collateral blood flow.
Instruct patient to increase walking activity to promote collateral circulation and improve blood supply to extremity.
Teach patient to avoid crossing legs or keeping legs in a dependent position to avoid constriction of veins.
Encourage patient to protect extremity from injury or extreme hot or cold temperatures. Infection or ulcer formation may develop more easily because of decreased blood supply.
Refer patients who smoke to smoking cessation program because continued smoking will significantly increase risks for further damage.