Aspiration for Certified Emergency Nursing (CEN)
Included In This Lesson
Study Tools For Aspiration for Certified Emergency Nursing (CEN)
Outline
Aspiration
Definition/Etiology:
Exogenous material or endogenous secretions are inhaled into the respiratory tract. Aspiration pneumonia is the number cause of death for dysphagia (difficulty swallowing) patients with neurological disorders.
Causes:
- Reduced conscious level
- Impaired cough reflex
- alcohol/drug overdose
- Post-seizure
- Post-anaesthesia
- Stroke/CVA
- Muscle weakening disorders (myasthenia gravis)
Pathophysiology:
Most pneumonias are a result of aspiration of micro-organisms from the oral cavity or nasopharynx. High correlation between volume of aspirate and the risk of developing pneumonia.
Clinical Presentation:
Consider amount and nature of the aspirated material (food worse than water), the site and frequency of the aspiration.
- Dyspnea
- Cough
- Pain (best, back, abd)
- Tachypnea, tachycardia
- Fever/chills
- AMS for elderly
- Decreased breath sounds
Collaborative Management:
Diagnostics:
- WBC
- Cultures
- ABGs
- Chest Xray
Interventions:
- Stable – sent home with antibiotics, bronchodilators, oral hydration
- Admitted/Unstable – antibiotics, ABCs, IV fluids, bronchodilators
- Airway management – O2, CPAP
- BiPAP, intubation as required
Evaluation | Patient Monitoring | Education:
- ABCD
- Breath sounds and pulse oximetry
- Cardiac rate and rhythm
- Hemodynamic status
- Level of consciousness
High alert for SEPSIS!
Linchpins: (Key Points)
“Went down the wrong pipe!”
- Foreign material or secretions enter respiratory tract causes pneumonia
- Caused by neuro issues or muscle weakness
- Protect the airway, treat the pneumonia
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
- Egging, D. (2017). Respiratory Emergencies and Thoracic Trauma. In CEN Online Review. Emergency Nurses Association.
- Chapman, S., Robinson, G., Stradling, J., & West, C. I. R. M. S. (2005). Oxford handbook of respiratory medicine. Oxford University Press.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System