00036 Suffocation Risk

Domain 11: security/protection
Class 2: physical injury
Diagnostic Code: 00036
Nanda label: suffocation risk
Diagnostic focus: asphyxiation
Approved 1980 • Revised 2013, 2017

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « suffocation risk ” is defined as: susceptible to insufficient air for inhalation, which can compromise health.

Risk factors

  • Access to fridge/vacuum freezer
  • Cognitive dysfunction
  • Ingest large food snacks
  • Excessive emotional alteration
  • Gas leaks
  • Inappropriate knowledge about safety precautions
  • Low hanging clothing tendard
  • Hang the pacifier around the child’s neck
  • Play with plastic bags
  • Leave a bottle in the child’s cradle
  • Small objects on the airways
  • Smoking in bed
  • Mattress too soft
  • Leave a child in the water without attention
  • Gas heating without ventilation
  • vehicle on a closed garage

Associated problems

  • Alteration of the olfactory function
  • Face/neck disease
  • Face/neck injury
  • Motor function deterioration

Suggestions of use

The most specific label that adjusts to the defining characteristics of the patient should be used. This diagnosis is more specific than, for example, Risk of trauma .

Suggested alternative diagnostics

Other examples

The patient will be able to:

  • Properly identify the security factors that protect the individual or child from suffocation
  • Recognize the signs of abuse or addiction to substances
  • Verbally express your knowledge about emergency procedures
  • Provide adequate toys for each age
  • Remove the doors of the refrigerators and freezers that are not used

NIC Interventions

  • Teaching: infant security: Security instruction during the first year of life
  • Management of respiratory tract: facilitation of the permeability of the respiratory system
  • Asthma management: identification, treatment and prevention of reactions caused by inflammation or constriction of respiratory tract
  • Environment management: Security: Control and manipulation of the physical environment to favor security
  • Precautions to avoid bronchoaspiration: prevention or decrease in risk factors in patients with a risk of bronchaspiration
  • Respiratory surveillance: Collection and analysis of patient data to guarantee the permeability of the respiratory tract and the appropriate gas exchange

Nursing Activities

Valuations

  • (NIC) Environment Management: Safety: Identify risks to safety in the environment (that is, physical, biological and chemical, or for example, gas leaks, portable heaters)
  • (NIC) Respiratory surveillance:
    • Watch the proportion, rhythm, depth and effort of breaths
    • Watch the presence of rumor and voice changes every hour in patients with facial burns
    • Resuscitation attempts begins, as required

Patient and family education

  • Provide educational materials related to strategies and measures to prevent suffocation, as well as emergency measures to face them
  • Provide information on the characteristics and risks of the environment (for example, stairs, windows, locks of the cabinets, swimming pools, street bars)
  • (NIC) Environment Management: Safety: Provide the patient emergency telephone numbers (for example, Department of Health, Environmental Services, Environmental Protection and Police Agency)

Collaboration activities

  • Chanting parents to educational classes in the community (CPR), first aid, swimming classes
  • (NIC) Environment Management: Security: Notify the authorized agencies to protect the environment (for example, Department of Health, Environmental Services, Environmental Protection and Police Agency)

Others

  • (NIC) Management of the respiratory tract: place the patient so that the ventilation potential is increased to the maximum
  • (NIC) Environment Management: Safety: Modify the environment to reduce risks and dangers

At home

  • The above activities are suitable for home use
  • Advise patients the installation of smoke detectors
  • Advise to periodically review the heating systems and that install carbon monoxide detectors • If daytime care for children and elders are used, teach the family how to evaluate the risks of suffocation in the environment

Babies and Children

  • Teach parents to avoid the use of loose bedding; The blankets and sheets must be well put under the mattress and reach only the baby’s chest
  • Recommend to parents that they do not sleep with a baby
  • Advise that they do not smoke in bed
  • Provide toys appropriate to age (for example, not give small toys, in a cylindrical or spherical form, young children or babies)
  • Remove the doors from large devices (for example, refrigerators) when discarded
  • Teach parents which foods pose a risk of suffocation for young children (for example, sausages, nuts, corn palomites, raisins, grapes, peanut butter)

Older people

  • Assess the ability to swallow
  • The patient should eat sitting, with a straight back