CUES Subjective y According to the client, 9pm ako natutulog tapos 8am ako nagigising pero minsan maaga

ako gumigising pag umaga ang pasok ko sa school. Sometimes when she wakes up in the morning, she feels that her sleep is not enough for her to have energy to perform her daily tasks. y The client has no difficulty falling asleep but when she has been hospitalized she cant sleep well. Minsan nahihirapan siyang

DIAGNOSIS Ineffective tissue perfusion related to interruption of blood flow secondary to dengue hemorrhagic fever as evidenced by decreased capillary refill

ANALYSIS Ineffective tissue perfusion can be mainly renal, cerebral, gastrointestinal or cardiac in nature. In layman's terms, ineffective tissue perfusion means that the blood flow in the affected region is insufficient. When blood flow to a particular region decreases, it causes reduced nutritional supply to the cells in this region, which can be problematic if continued over a prolonged period. Altered tissue perfusion can also cause a reduction in oxygen supply

GOALS & OBJECTIVES After _ hours of nursing intervention, the client will be able to: y Show different practices to improve blood oxygenation and circulation.

INTERVENTION

RATIONALE

EVALUATION

y Encourage client to take iron supplements and eat foods rich in iron. y Elevate head of bed to about 10 degrees. y Discourage strenuous activities.

y Verbalize understanding of condition and importance of treatment regimen. y Show increased tissue

y Provide health teaching regarding dengue hemorrhagic fever. y Provide health teaching regarding drugs being taken. y Monitor vital

y To help elevate hemoglobin and hematocrit levels. y To promote circulation and venous drainage. y To avoid increased oxygen demand. y To help client understand his health condition. y To maintain compliance of medications. y Serves as basis for any alterations in system

makatulog dito sa ospital. stated by her mother. Objective y The clients skin is dry y The clients skin is warm to touch y Capillary refill more than 4 seconds y BP: 100/60 mmHg y BMI: 15.1

to the affected region.

perfusion.

signs. Encourage ambulation as much as possible. Collaborative: y Administer medication as prescribed. y Administer and regulate IVF as ordered.

function. y Enhance venous return. y Help control/ alleviate symptoms. y Maintain hydration and help wash away toxins.