Ineffective Tissue Perfusion

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Specializes in NICU PICU Peds Cardiology.

I was wondering if I could use the NANDA Ineffective Tissue Perfusion for more than one specified type such as Renal due elevation in BUN/Creatinine ratio, Cardiopulmonary due to cap refill >3 sec and abnormal ABGs, and Gastrointestinal due to Abdominal pain/tenderness?

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Specializes in med/surg, telemetry, IV therapy, mgmt.

Yes, word it using your best English: Ineffective Tissue Perfusion, renal, gastrointestinal and cardiopulmonary R/T ______ AEB elevated BUN, creatine ratio, abdominal pain and tenderness, abnormal ABGs and capillary refill

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Specializes in NICU PICU Peds Cardiology.

Yes I do now, but before no I guess i didn't realize that. I am not sure what to put as the etiology. My patient is not on O2 and his sats are WNL. i just have evidence of decreased O2 carrying capacity because he has low Hbg and all that other stuff that I already mentioned. he is in for unknown abdominal pain. He has severe diarrhea, high risk for falls, decreased Cardiac output, Impaired urinary elimination, Acute Pain Imbalanced Nutrition more than body requirements and I put ineffective tissue perfusion. I don't know what to put down for the cause. Please Help.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

What is his medical diagnosis?

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Specializes in NICU PICU Peds Cardiology.

Acute Abdominal Pain r/t unknown etiology

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Specializes in med/surg, telemetry, IV therapy, mgmt.

determining the etiology of the physiologic nursing diagnoses is many times related to the pathophysiology of the medical illness. when you have abnormal data of an elevated bun and creatine ratio, abnormal abgs and abdominal pain and tenderness, and a capillary refill

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Specializes in NICU PICU Peds Cardiology.

Thank You, I was kind of leaning more towards Acute Pain as my #1 problem but really his abdominal pain on the day that i had him was gone he only had tenderness in his RUQ and the only pain that he really had was due to his irritated, red, raw bottom from diarrhea. Dr ordered a stool sample but I was not able to obtain it because it was so runny and had too much urine in it as well. I just wish I had more than an 8 hr shift to try and do a whole care plan on. I want to really understand what is going on with him and right now I am just not. I really thank you for your help and I'm sure I will be asking for more here in the near future like umm prob tomorrow after clinical :)

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Just a quick thanks, Daytonite, for all the advising you do here on AN. People like yourself make this place the valuable resource it is. :yeah:

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