Activity Intolerance



Activity Intolerance







Defining Characteristics


Major (Must Be Present)

An altered physiologic response to activity


Respiratory














Exertional dyspnea*


Shortness of breath


Excessively increased rate


Decreased rate



Pulse


















Weak


Failure to return to preactivity level after 3 minutes


Excessively increased


Rhythm change


EKG changes reflecting arrhythmias or ischemia*


Decreased



Blood Pressure

Abnormal blood pressure response to activity

Failure to increase with activity

Increased diastolic pressure (greater than 15 mm Hg)


Minor (May Be Present)
















Verbal report of weakness*


Verbal report of fatigue*


Pallor or cyanosis


Confusion


Verbal report of vertigo



Related Factors

Any factors that compromise oxygen transport orphysical conditioning or create excessive energy demands that outstrip the individual’s physical and psychological abilities can cause activity intolerance. Some common factors follow.


Pathophysiologic

Related to deconditioning secondary to prolonged immobilization and pain


Related to imbalance between oxygen supply and demand*

Related to compromised oxygen transport system secondary to:


Cardiac



















Cardiomyopathies


Congestive heart failure


Dysrhythmias


Angina


Myocardial infarction


Valvular disease


Congenital heart disease



Respiratory

Chronic obstructive pulmonary disease (COPD)

Bronchopulmonary dysplasia

Atelectasis


Circulatory

Anemia

Hypovolemia

Peripheral arterial disease

Related to increased metabolic demands secondary to:


Acute or Chronic Infections














Viral infection


Mononucleosis


Endocrine or metabolic disorders


Hepatitis



Chronic Diseases
















Renal


Hepatic


Inflammatory


Musculoskeletal


Neurologic


Related to inadequate energy sources secondary to:













Obesity


Inadequate diet


Malnourishment

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Mar 5, 2021 | Posted by in NURSING | Comments Off on Activity Intolerance
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