NCP for hypotension! help!!

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Guys!! I need help!

Do you know what could be the nsg diagnosis for a hypotensive client??? Do you think I could use altered tissue perfusion???

Thanks guys!

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Risk for falls and injury are always nrsg dx for hypotension. Without knowing your pt's other dxs it is kinda hard to pick more.

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Specializes in ICU.

Yes, altered tissue perfusion is an option, as well as the ones mentioned above. How is the patient's urine output? If it is low you can do a excess fluid volume, if it is not low yet, you can do a risk for fluid volume excess.

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Thanks guys! I just want to make sure that I can use altered tissue perfusion as my nursing DiaGNOSIS! THANKS A LOT!!

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Specializes in Emergency.

Hi,

Yes those would work. Here are some others:

Decreased Cardiac output r/t decreased preload, decreased contractility.

Disturbed thought process r/t decreased oxygen supply to brain.

Inneffective tissue perfusion: cardiopulmonary/peripheral r/t hypovolemia, decreased contractility, decreased afterload.

Risk for deficient fluid volume r/t excessive fluid loss.

For more help with future plans, get "Nursing Diagnosis Handbook" by Ackley and Ladwig

Amy

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Specializes in med/surg, telemetry, IV therapy, mgmt.
alexis valiente said:
Do you know what could be the nsg diagnosis for a hypotensive client??? Do you think I could use altered tissue perfusion???

Read the information on choosing nursing diagnoses for a client in these two threads on allnurses:

The only way you can use altered tissue perfusion as a nursing diagnosis is if your patient has the necessary symptoms that fit this diagnosis. This is part of the nursing process and all nursing students should have that tattooed somewhere on their body to remind them of this little fact. You can't use a nursing diagnosis based upon a patient's medical condition or medical diagnosis without the patient having the symptoms to back it up. You haven't listed any of your patient's symptoms. How else are you going to determine that your patient has this problem of decreased oxygen that fails to nourish the tissues of xxx part of their body at the capillary level? If you cannot make the connection between your patient's abnormal assessment symptoms and the nursing diagnosis, your instructor is going to give you a low score. This all involves critical thinking, understanding how to do a proper data assessment of the patient, extracting out the abnormal data and applying the patient's underlying pathophysiology of their disease condition to what is going on. If you can't make those connections, then you aren't learning how to think critically and this isn't going to help you if you ever have to take the NCLEX to get an RN license.

In addition, the decreased cardiac output nursing diagnosis is closely related to the nursing diagnosis of ineffective (altered) tissue perfusion. the use of either is totally dependent on the symptoms the patient is exhibiting and the underlying pathophysiology of their physical problem. Having supplied no other information other than "hypotension", there is no advice that I, an experienced care plan writer, can give you.

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Thanks alot!! It was a great help!

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Specializes in med/surg, telemetry, IV therapy, mgmt.
ALEXIS VALIENTE said:
thanks alot!! it was a great help!!!!!!!!!!!!

I am not convinced that you understand what I am saying. This is because of the information you are not posting. Seriously, what are the signs and symptoms that this patient is having to lead to you use the nursing diagnosis that you ended up using? I am really trying to help you here.

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Daytonite said:
I am not convinced that you understand what I am saying. This is because of the information you are not posting. Seriously, what are the signs and symptoms that this patient is having to lead to you use the nursing diagnosis that you ended up using? I am really trying to help you here.

Well actually, there was really no patient. I just happen to ask this question because when I was scanning my nursing diagnosis handbook, I realized that there was no nursing diagnosis specifically saying "hypotension" unlike in the case of fever where you will find " hyperthermia".

I ask the question just to make sure that I thought of the right possible nursing diagnosis that I can consider whenever I encountered a patient with hpn.

I would like to thank you because I know that you only want to help me to understand fully the subject matter. I hope that you still help me the nxt time...

Thank you so much..

Keep up the good work!

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

OK. I understand better now. Let me give you a little preview about nursing care plans and nursing diagnosis. A medical diagnosis and a nursing diagnosis are two different things. One of the most difficult things for nursing students to grasp is the concept that medical diagnoses are different from nursing diagnoses. Hypotension is a medical diagnosis. While you may find some correlation to nursing diagnoses that might apply to a patient that has hypotension the way a nurse decides on what nursing diagnosis to choose for a patient carries a different set of criteria than what a physician uses to choose a medical diagnosis. Also, NANDA wants nurses to use nursing terminology, something that NANDA has come up with. All those nursing diagnoses are what NANDA is claiming are nursing terminology, not medical terminology. It has just added some confusion for all of us who have to work with this.

That nursing diagnosis book that you are looking through is going to serve as a reference for you. If you look at each nursing diagnosis in it carefully, you will see that it lists a definition of each nursing diagnosis, a defining characteristic (these are signs and symptoms) and related factors (these are the underlying causes of the diagnosis that led or causes the signs and symptoms). If you use any nursing diagnosis, the patient should have at least one, if not more, of the defining characteristics listed under that nursing diagnosis. These defining characteristics are based upon the first step of the nursing process, which is data assessment. Data assessment information comes from reviewing the written information in the patient's medical record and performing an interview and physical assessment on the patient. Nurses also specifically assess the patient for their ability to perform their daily activities of living. If you look at the Self-care deficit nursing diagnoses you will see this reflected in the defining characteristics listed under them. This is very different from what a doctor assesses in patients. So, consequently, we nurses have a different set of diagnoses that we use.

This may be a little difficult for you to understand since you are not currently being lectured at about this, but as you get into your formal nursing classes it should become much clearer.

Thanks for clearing up the mystery for me. I was really worried about this care plan I thought you had to write and I didn't want to see you fail at it! A patient with hypotension typically has an underlying problem of much greater magnitude, usually some condition that has lead to shock or a cardiac arrhythmia or other heart problem. So, there would also be more serious symptoms going on beside just the hypotension.

I commend you for your curiosity about this. When you are ready to write your first real case study or care plan, I hope I will be able to help you out. In the meantime, to prepare, read about the steps of the nursing process. A care plan is nothing more than a written presentation of the steps of the nursing process customized to one specific patient and their problem(s). Good luck with your nursing school education!

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Daytonite said:
OK. I understand better now. Let me give you a little preview about nursing care plans and nursing diagnosis. A medical diagnosis and a nursing diagnosis are two different things. One of the most difficult things for nursing students to grasp is the concept that medical diagnoses are different from nursing diagnoses. Hypotension is a medical diagnosis. While you may find some correlation to nursing diagnoses that might apply to a patient that has hypotension the way a nurse decides on what nursing diagnosis to choose for a patient carries a different set of criteria than what a physician uses to choose a medical diagnosis. Also, NANDA wants nurses to use nursing terminology, something that NANDA has come up with. All those nursing diagnoses are what NANDA is claiming are nursing terminology, not medical terminology. It has just added some confusion for all of us who have to work with this.

That nursing diagnosis book that you are looking through is going to serve as a reference for you. If you look at each nursing diagnosis in it carefully, you will see that it lists a definition of each nursing diagnosis, a defining characteristic (these are signs and symptoms) and related factors (these are the underlying causes of the diagnosis that led or causes the signs and symptoms). If you use any nursing diagnosis, the patient should have at least one, if not more, of the defining characteristics listed under that nursing diagnosis. These defining characteristics are based upon the first step of the nursing process, which is data assessment. Data assessment information comes from reviewing the written information in the patient's medical record and performing an interview and physical assessment on the patient. Nurses also specifically assess the patient for their ability to perform their daily activities of living. If you look at the Self-care deficit nursing diagnoses you will see this reflected in the defining characteristics listed under them. This is very different from what a doctor assesses in patients. So, consequently, we nurses have a different set of diagnoses that we use.

This may be a little difficult for you to understand since you are not currently being lectured at about this, but as you get into your formal nursing classes it should become much clearer.

Thanks for clearing up the mystery for me. I was really worried about this care plan I thought you had to write and I didn't want to see you fail at it! A patient with hypotension typically has an underlying problem of much greater magnitude, usually some condition that has lead to shock or a cardiac arrhythmia or other heart problem. So, there would also be more serious symptoms going on beside just the hypotension.

I commend you for your curiosity about this. When you are ready to write your first real case study or care plan, I hope I will be able to help you out. In the meantime, to prepare, read about the steps of the nursing process. A care plan is nothing more than a written presentation of the steps of the nursing process customized to one specific patient and their problem(s). Good luck with your nursing school education!

Thank you daytonite, your words are well taken!!

Thanks again!

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