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.