Use this nursing diagnosis guide to help you create nursing interventions for aspiration risk nursing care plan. Aspiration is breathing in a foreign object such as foods or liquids into the trachea and lungs and happens when protective reflexes are reduced or jeopardized. An infection that develops after an entry of food, liquid, or vomit into the lungs can result in aspiration pneumonia. Inhaling chemical fumes or breathing in and choking on certain chemicals, even small amounts of gastric acids can damage lung tissue, resulting in chemical pneumonitis. Many household and industrial chemicals can produce both an acute and a chronic form of inflammation in the lungs which can place patients at risk for aspiration. Acute conditions, like post anesthesia effects from surgery or diagnostic tests, happen predominantly in the acute care setting. Chronic conditions, like altered consciousness from head injury, spinal cord injury, neuromuscular weakness, hemiplegia, and dysphagia from stroke, use of tube feedings for nutrition, and artificial airway devices such as tracheostomies, may be experienced in the home, rehabilitative, or hospital setting Prevention is the main goal when caring for patients at risk for aspiration. Evidence shows that one of the principal precautionary measures for aspiration is placing at-risk patients in a semirecumbent position. Other measures include compensating for absent reflexes, assessing feeding tube placement, identifying delayed stomach emptying, and managing effects of prolonged intubation. Nursing AssessmentAssessment is required in order to distinguish possible problems that may have lead to aspiration as well as name any episode that may occur during nursing care.
Nursing InterventionsThe following are the therapeutic nursing interventions for aspiration risk:
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