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Historically it is said that a patient is at risk if they have: [3] Residual gastric volume of greater than 25ml, with; pH of less than 2.5; However these are indirect measurements and are not factors that directly influence aspiration risk. [3] Patients with a high risk should have a rapid sequence induction. High risk is defined as these ...
Risk factors include decreased level of consciousness, problems with swallowing, alcoholism, tube feeding, and poor oral health. [1] Diagnosis is typically based on the presenting history, symptoms, chest X-ray, and sputum culture. [1] [2] Differentiating from other types of pneumonia may be difficult. [1]
In adults the most common source of aspiration pneumonia is aspiration of oropharyngeal secretions or gastric contents. In children the most common cause is aspiration of infected amniotic fluid, or vaginal secretions. Severe periodontal or gingival diseases are important risk factors for establishment of an anaerobic pleuropulmonary infection.
Readiness for enhanced therapeutic regimen management is a NANDA approved nursing diagnosis which is defined as "A pattern of regulating and integrating into daily living a program(s) for treatment of illness and its sequelae that is sufficient for meeting health-related goals and can be strengthened."
A nursing diagnosis may be part of the nursing process and is a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. Nursing diagnoses foster the nurse's independent practice (e.g., patient comfort or relief) compared to dependent interventions driven by physician ...
Drugs can increase a person's risk of aspiration through multiple mechanisms. [6] Medications including sedatives, hypnotics, and antipsychotics can result in decreased level of consciousness and loss of cough and swallow reflexes. [7] Long-term use of proton pump inhibitors can lead to overgrowth of gastric bacteria and increase risk of ...
Diabetic foot ulcer is a breakdown of the skin and sometimes deeper tissues of the foot that leads to sore formation. It is thought to occur due to abnormal pressure or mechanical stress chronically applied to the foot, usually with concomitant predisposing conditions such as peripheral sensory neuropathy, peripheral motor neuropathy, autonomic neuropathy or peripheral arterial disease. [1]
Diabetic coma is a medical emergency in which a person with diabetes mellitus is comatose (unconscious) because of one of the acute complications of diabetes: [24] [25] Severe diabetic hypoglycemia Diabetic ketoacidosis advanced enough to result in unconsciousness from a combination of severe hyperglycemia , dehydration and shock , and exhaustion