Ineffective airway clearance related to anesthesia. The airway clearance is impaired with poor hydration and subsequent secretion thickening. Maintaining a clear airway is vital to sustaining life. Ineffective airway clearance can be acute or chronic from cerebrovascular accident problem. Factors such as anesthesia and dehydration can affect the function of the mucociliary system.
Maintaining the airway is the priority, especially in cases of trauma. Assess the patient's respiration. Abnormality in respirations indicates the respiratory compromise. Symptoms such as wheezing may indicate that there is increasing airway resistance.
Ineffective airway clearance related to anesthesia-rationale: ineffective airway clearance related to anesthesia takes priority for this client because general anesthesia may impair a clients ability to clear secretions from his airway. acute pain related to surgery, deficient fluid volume related to blood and fluid loss from surgery, and impaired physical mobility related to surgery, although important, are secondary. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: application reference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 661.
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