Question

can someone critique my nurses diagnosis!

ab *, * ADAA E a Styles Styles Pane Sen Actual Nursing Diagnosis (Priority Physical) ineffective peripheral Tissue Prefusion related to increased blood pressure, edema and smoking as evidence by blood pressures of 168/96 150/100, 168/100, 172/100, 3 + pitting edema to lower extremities and finding a pack of cigarettes in patients bra with patient admitting to smoking half a pack a day Patient will maintain. Patient will stop smoking while Stopping cigarette use will Patient will a diastolic blood pregnant to help maintain a increase tissue prefusion to maintain a pressure under 100, lower blood pressure lower extremities. diastolic blood remain from pressure under smoking until fetal 100, remain from birth and decreased 2. Nurse will do education on 2. Education will help the patient smoking until swelling in lower fetal health status and medical understand what could happen fetal birth and extremities. 2/28/20 condition related to continued to the baby and herself if decreased smoking smoking continues swelling in lower extremities 2/28/20 3. Patient will elevate lower 3. Elevating lower extremities Goal met by extremities every 2 hours to increases blood flow to heart remaining smoke increase blood flow to heart and and increases circulation to free until fetal decrease edema in lower extremities. birth. extremities. 4. Patient will understand orthostatic hypotension by rising slowly, sitting on edge of bed for several minutes before standing, having someone present when standing 4. Orthostatic hypotension results in decreased prefusion to temporarily decrease prefusion to heart and extremities. ds English (United States) Focus

Answer 1

ineffective peripheral tissue perfusion related to increasing blood pressure, edema and smoking.

In this case lifestyle factor such as smoking damages the inner walls of blood vessels and affect the smooth blood flow, which cause peripheral vascular resistance. It is the reason for elevated blood pressure.

As we know more than 60% of vascular resistance occurs in the micro-level which affects the internal respiration of cells, which causes edema.

Vasodilation by the various ways can reduce the peripheral resistance and effective treatment in this condition, You can use diuretics to treat edema.