00037 Risk Of Poisoning

Domain 11: security/protection
Class 4: environment hazards
Diagnostic Code: <00037
Nanda label: poisoning risk
Diagnostic focus: poisoning
Approved 1980 • Revised 2006, 2013, 2017 • Level of evidence 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « poisoning risk ” is defined as: susceptible to an accidental ingestion or exposure to drugs or dangerous products in sufficient doses, which can compromise health. >

Risk factors

External factors

  • Access to hazardous products
  • Access to illicit drugs, potentially contaminated with poisonous additives
  • Access to pharmacological preparations
  • Work environment without due security measures

Internal factors

  • Cognitive dysfunction
  • Excessive emotional alteration
  • Inappropriate knowledge about pharmacological preparations
  • Inappropriate knowledge of poisoning prevention
  • Inappropriate precautions against poisoning
  • Neurocomportal manifestations
  • Inadequate vision not resolved

Suggestions of use

Use the most specific label corresponding to the defining characteristics present (that is, if the required risk factors are detected, a risk of poisoning or intoxication should be used instead of risk of injury).

Suggested alternative diagnostics

  • injury, risk of
  • Household maintenance, deterioration of
  • Paternity, deterioration of the
  • Self -directed violence, risk of

NOC Results

  • Safe at home: physical provisions to reduce as much as possible the environmental factors that could cause physical damage or home injuries
  • Personal security behavior: personal actions of an adult to control behaviors that can cause physical injuries
  • Knowledge: Child Physical Security: Degree of understanding transmitted about the security in the care of a child between one and 17 years of age
  • Symptoms severity: severity of adverse changes perceived in physical, emotional and social functioning

Evaluation objectives and criteria

  • It demonstrates a safe atmosphere in the home, as manifested by the following indicators (specify from 1 to 5: no, slightly, moderately, substantially or totally adequate):
  • Maintenance of a carbon monoxide detector
  • Safe medication storage
  • Elimination of lead risks
  • Placement of danger warning labels
  • Other examples

    • Develop strategies to prevent poisoning
    • Demonstrates understanding of the safe use of medicines when describing the appropriate methods of administration, dosing, storage and waste
    • Look for information about potential risks
    • Indicates that it keeps the numbers of the toxicological control centers in an easily accessible place

    NIC Interventions

    • Health Education: Preparation and supply of information and teachings of experiences to facilitate the voluntary adoption of health behaviors in individuals, families, groups or communities
    • Teaching: Safety of the infant (and small child): Instruction on security during the first (three years) of life
    • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
    • Environment management: Security: Control and manipulation of the physical environment to increase security
    • Surveillance: Security: Collection and analysis of information about the patient and the environment, continuously and with an end, for use in the promotion and maintenance of safety

    Nursing Activities

    Valuations

    • (NIC) Environment Management: Security: Monitor the environment to detect changes in the state of security
    • (NIC) Surveillance: Security:
      • Watch the patient to detect alterations in physical or cognitive functions that could cause unsafe behavior
      • Determine the degree of surveillance that the patient requires, from their level of functioning and the dangers present in the environment

    Patient and family education

    • Provide educational material on safety strategies and antidotes for poisons or poisoning
    • (NIC) Environment Management: Security:
      • Instruct high -risk groups and individuals, about environmental hazards (for example, lead and radon)
      • Provide the patient with telephone numbers for emergencies (police, local health center and toxic substance control center)

    Collaboration activities

    • Channel to community classes [for example, cardiopulmonary resuscitation (CPR), first aid]
    • (NIC) Environment Management: Security: Collaborate with other institutions (for example, Department of Health, Police and Environmental Protection Agency) to improve environmental security

    Others

    • (NIC) Environment Management: Security:
      • Modify the environment to reduce hazards and risks
      • Use protection devices (for example, support, handrails, key doors, fences and gates) to limit mobility or access to dangerous situations
    • (NIC) Surveillance: Security: Provide an adequate level of supervision and surveillance to monitor the patient and allow therapeutic actions, as required

    At home

    • The above interventions are adequate for use in home care
    • Provide a list of telephone numbers of the toxicological control centers and other emergency numbers
    • Help the family identify toxic substances inside or near the home (for example, paint, fertilizers, herbicides, gasoline, rats poison)
    • Make sure there is a carbon monoxide detector in the house
    • Recommend an annual inspection of the oven
    • Recommend the installation of a grid on the chimney to prevent animals (for example, squirrels) to nest inside and block the shot

    Babies and Children

    • Clearly label toxic substances (for example, place a caution or drawing of a skull).
    • Use containers that children cannot open, but without assuming that any container is completely manufactured to children’s proof
    • Save medications and toxic substances in their original containers, never in food containers
    • By administering medications to children, they should not be told that they are candies
    • Indicate parents that Ipecacuana syrup should not be used at home
    • Teach parents that some domestic plants are poisonous and should be eliminated from the house or, at least, place themselves out of reach of children

    Older people

    • If the patient uses two similar -looking medications, recommend the patient and the family not to store them in the same place