Risk for Aspiration
At risk for entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids into the tracheobronchial passages Related Factors: RISK FACTORS: Increased intragastric pressure; tube feedings; situations hindering elevation of upper body; reduced level of consciousness; presence of tracheostomy or endotracheal tube; medication administration; wired jaws; increased gastric residual; incomplete lower esophageal sphincter; impaired swallowing; gastrointestinal tubes; facial, oral, or neck surgery or trauma; depressed cough and gag reflexes; decreased gastrointestinal motility; delayed gastric emptying NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Respiratory Status: Ventilation Aspiration Control Swallowing Status Client Outcomes Swallows and digests oral, nasogastric, or gastric feeding without aspiration Maintains patent airway and clear lung sounds NIC Interventions (Nursin...