Ineffective Tissue perfusion related to Anemia

Nursing Diagnosis for Anemia : Ineffective Tissue perfusion

Anemia is a symptom of an underlying condition, such as loss of blood components, elements inadequate or lack of nutrients needed for the formation of red blood cells, resulting in decreased oxygen-carrying capacity of blood (Doenges, 1999).

Anemia happens when:
  • The body loses too much blood (such as with heavy periods, certain diseases, and trauma); or
  • The body has problems making red blood cells; or
  • Red blood cells break down or die faster than the body can replace them with new ones; or
  • More than one of these problems happen at the same time.

  • Weakness
  • Shortness of breath
  • Dizziness
  • Fast or irregular heartbeat
  • Pounding or “whooshing” in your ears
  • Headache
  • Cold hands or feet
  • Pale or yellow skin
  • Chest pain

Nursing Diagnosis for Anemia : Ineffective Tissue perfusion related to decreased cellular components required for the delivery of oxygen / nutrients to the cells.

Goal: increase tissue perfusion.

Outcomes: indicates adequate perfusion, such as vital signs stable.

Interventions and Rational:


1. Monitor vital signs, assess capillary refill, skin color / mucous membranes, nails.
Rational: provides information about the degree / adequacy of tissue perfusion and help determine the need for intervention.

2. Elevate the head of bed as tolerated.
Rational: increased lung expansion and maximize oxygenation to cellular needs. Note: contraindicated if there is hypotension.

3. Monitor respiratory effort: auscultation of breath sounds adventisius notice.
Rational: dyspnea, heart problems because of the rush shows old heart strain / compensatory increase in cardiac output.

4. Investigate complaints of chest pain / palpitations.

Rational: cellular ischemia affects myocardial tissue / potential risk of infarction.

5. Avoid using the bottle warmers or hot water bottle. Measure the temperature of bath water with a thermometer.
Rational: thermoreceptor superficial dermal tissue for oxygen interference.


1. Monitor results of laboratory examination. Give a complete red blood cells / blood product packed as indicated.
Rational: identify deficiencies and needs treatment / response to therapy.

2. Provide supplemental oxygen as indicated.
Rational: to maximize the transport of oxygen to tissues.

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