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Diagnosis Nursing Diagnoses Ineffective airway clearance related to inability to clear respiratory secretions Risk forfiuid volume decit associated to lack of ability to ingestfiuids Impaired oral mucous membranes associated to mouth respiration, absence of pharyngeal reex, and inability to ingestfiuids Risk for impaired pores and skin integrity related to immobility or restlessness Impaired tissue integrity of cornea associated to diminished or absent corneal reex Ineffective thermoregulation related to damage to hypothalamic center Impaired urinary elimination (incontinence or retention) associated to impairment in neurologic sensing and control Bowel incontinence related to impairment in neurologic sensing and management and in addition related to adjustments in nutri tional supply methods Disturbed sensory perception related to neurologic impairment Interrupted family processes associated to well being crisis Collaborative Problems/Potential Complications Respiratory misery or failure Pneumonia U Aspiration Pressure ulcer Deep vein thrombosis Contractures Planning and Goals Goals of care in the course of the unconscious interval might embody major tenance of a transparent airway, safety from harm, attainment offiuid quantity balance, achievement of intact oral mucous 642 Unconscious Patient membranes, maintenance of regular pores and skin integrity, absence of corneal irritation, attainment of efficient thermoregulation, efficient urinary elimination, bowel continence, correct notion of environmental stimuli, maintenance of intact family or help system, and absence of complications acne yahoo [url=https://www.russhhospital.com/wp-content/practice/case313/]best order for benzac[/url]. 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