ADS
At risk for entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids into the tracheobronchial passages
Related Factors:
RISK FACTORS:
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
NIC Interventions (Nursing Interventions Classification)
Suggested NIC Labels
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
- 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
