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Anemia Nursing Care Plan

Anemia of Chronic Disease

Anemia is a condition in which your body does not have enough healthy red blood cells to carry oxygen to your tissues.


  • Fatigue
  • weakness
  • Pale skin
  • Irregular or fast heart rate
  • Shortness of Breath
  • Chest pain
  • Dizziness
  • Headache
  • Cognitive Problems
  • Cold extremities
  • Headache

Nursing Diagnosis:

#1 Activity Intolerance related to anemia and decreased oxygen carrying capacity of blood due to decreased RBC’s.

Desired Outcomes:

Hgb and Hct level are normal and the patient perceives exertion at less that 3 on a scale of 1-10, tolerates activity, AEB resp rate 12-18 breaths per minute and heart rate 60-90 beats per minute. Denies any dizziness.

Assess for signs of activity intolerance. Ask client to rate perceived exertion.Dyspnea on exertion, palpitations, headaches, or dizziness or patient states increased exertion level, are all signs of activity intolerance and decreased tissue oxygenation.
Monitor pulse oximetry and report O2 saturation <92%.O2 sat of <92% indicates the need to supplement oxygen.
Encourage deep breathing exercises and administer oxygen if indicatedIncreases oxygen delivery to the body.
Assess the need for fall risk precautions.Client may not be able to perceive weakness and loss of balance.


#2 Decreased cardiac output related to inadequate RBC’s pumped by the heart to meet the oxygen needs of the tissues.

Desired Outcomes:

The client will maintain a heart rate within 60-100 bpm and maintain a blood pressure within predetermined limits.

Assess client q4h for increasing heart rate, increased blood pressure, fatigue or chest pressure/pain.one or all of these symptoms may indicate the beginning of cardiac failure or other complications.
Monitor pulse oximetry and report O2 saturation <92%.O2 sat of <92% indicates the need to supplement oxygen in the myocardium.
Inspect legs and feet q 4-6 hoursThis assesses for pedal edema and may be a sign of decreased cardiac output.
Measure and chart Intake and output q shift. Decreased urine output may be a sign of decreased renal perfusion from a decreased in cardiac output.


Other Nursing Diagnosis:

  • Fatigue
  • Impaired gas exchange
  • Adult failure to thrive
  • Impaired skin integrity
  • Ineffective Breathing Patterns
  • Risk for infection



Anna C. RN-BC, BSN, PHN, CMSRN Anna began writing extra materials to help her BSN and LVN students with their studies. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process. She is a clinical instructor for LVN and BSN students along with a critical care transport nurse.

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