Assessment Diagnosis Planning Intervention Rationale Evaluation

Ineffective
Objectives: tissue perfusion  Blood clotting
as evidence by studies are being
 ABGs used to conclude or
pH -7.23 make sure that
(PaCO2) 62 mm Hg clotting factors stay
(8.250kPa)level within therapeutic
(Pao2) 50 mm Hg levels. Gauges of
(6.65 kPa) organ perfusion or
SPO2 level 76% function.
(0.76) Irregularities in
coagulation may
occur as an effect of
therapeutic
measures.
 RR-30breaths/min  Cardiac pump
malfunction and/or
ischemic pain may
result in respiratory
distress.
Nevertheless,
abrupt or continuous
dyspnoea may
signify
thromboembolic
pulmonary
complications.