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.
- Pale skin
- Irregular or fast heart rate
- Shortness of Breath
- Chest pain
- Cognitive Problems
- Cold extremities
#1 Activity Intolerance related to anemia and decreased oxygen carrying capacity of blood due to decreased RBC’s.
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 indicated||Increases 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.
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 hours||This 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:
- Impaired gas exchange
- Adult failure to thrive
- Impaired skin integrity
- Ineffective Breathing Patterns
- Risk for infection