rademily

ok, thanks. I guess I thought that because his oxygen saturation remained normal that he was perfusing well enough. I was really just not sure how to word the diagnosis correctly. That makes sense though. Thanks!

I am trying to figure out what to put as my "related to" and "as evidenced by" for my nursing diagnosis of Risk for altered tissue perfusion. The patient was a trauma patient that sustained 8 fractured ribs and a pneumothorax. Once the epidural catheter was placed and test dose of 1% lidocaine was infused, his blood pressure dropped to critical values (down to 57/35 at one point) and we ended up pushing neo a few times and narcan eventually. He had 5mg of dilaudid and 4 mg of morphine previously in the ER. I am trying to work out how to write about how the hypotension is related to the narcotic administration and test dose of lidocaine (plus additional BP drop once pain was relieved). The reason I am using "risk for" is because his O2 sats remained at about 97%. Thanks!!!