Question

decreased tissue perfusion r/t epidura block

sign/symptoms-----

causes------

treatmeant-----

Answer 1

1. Sign and symptoms of decreased tissue perfusion :-

- altered sensorium

- hypotension

- oliguria

- restlessness

- skin temperature -cool and clammy

- tachycardia and feable pulse

- pale skin

2. Causes of impaired tissue perfusion :-

Vascular disorders like HTN, atherosclerosis (hardening of the arteries), arteriosclerosis (thickening, hardening, and loss of elasticity of arterial walls), aneurisms, renal failure, conditions such as pregnancy, dehydration, and malnutrition.

Epidural block produce a sympathetic block which causes peripheral vasodilation and hypotension and this can lead to decreased tissue perfusion .

3. Treatment of impaired tissue perfusion :-

- oxygen therapy

- hemodynamic monitoring

- fluid therapy

- maintain central perfusion by adequate cardiac output /preload and afterload