Nursing Diagnosis
Activity intolerance r/t imbalance oxygen supply and demand AEB abnormal heart rate or blood pressure response

Scientific Explanation
When there is a high blood pressure, there is an inadequate blood flow. Inadequate blood flow decreases the nutrients and oxygen in the tissues in the body as well as in metabolic demands. By then, a person will not be able to meet her desired activities because of depleted energy that the body needs to sustain normal metabolic rate.

After 2-3 days the pt. will be able to achieve measurable increase in activity intolerance, evidenced by reduced fatigue and weakness and by V/S within acceptable limits during activity.

Nursing Interventions
1. Assess for other precipitators or causes of treatment and pain.

Fatigue is a side effect of some medications. Pain and stressful regimens also extract energy and produce fatigue.

O= Pt. may manifest -pallor >non-pitting edema >hypertension >body malaise >variations in blood pressure >anxiety and restlessness

2. Involve client in formulation of plan of care at level of ability

Enhances sense of control and aids in cooperation and maintenance of independence.

3. Assess the patient’s response to activity, nothing pulse rate more than 20 beats/min. faster than resting rate ; marked increase in blood pressure during or after activity; dyspnea or chest pain; excessive fatigue and weakness; diaphoresis; dizziness or syncope.

The stated parameters are helpful in assessing physical responses to the stress of activity and if present are indicators of over exertion.

5. Comprehensive functional assessment includes independent performance of basic ADLs. Provide assistance with self-care activity as indicated. thereby assisting in equalization of oxygen supply and demand. intersperse activity period with rest period. cognition and ability to ambulate. Meets client’s personal care needs without undue myocardial stress or excessive oxygen demand. Evaluate accelerating activity intolerance. 7. Energy saving techniques reduced the energy expenditures. . May denote increasing cardiac decompensation rather than over activity. Determine current cap[abilities and barriers to participation in self care. sensory abilities.4. 6. Instruct client energyconserving techniques. social activities.

Gradual activity intolerance progression prevents a sudden increase in cardiac workload.8. . Encourage progressive activity when tolerated.

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