Risk for Aspiration

ADS
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 (Nursing Interventions Classification)

Suggested NIC Labels
  •  Aspiration Precautions

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