Prevent pressure-induced skin injuries

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Preventing aspiration

Monitor for gastric congestion: Perform continuous postpyloric feeding with a feeding pump to reduce gastroesophageal reflux. Assess gastric motility and gastric congestion with ultrasound if possible. A patient with normal gastric emptying is not recommended for routine evaluation;
Assess gastric residual volume every 4 hours. Re-aspirate if GRV is < 100 mL; otherwise, notify physician;
Prevention of aspiration during patient transport: Before transport, stop feeding through the nasoesophageal tube, remove residual contrast material in the stomach, and connect the gastric tube to a negative pressure bag. During transport, raise the patient's head to 30°;
Prevention of aspiration in case of VPNC: Check the humidifier every 4 hours to avoid over- or under-humidification. Promptly remove accumulated water in the tubing to prevent coughing and aspiration caused by accidental condensation entering the airway. Keep the nasal cannula positioned higher than the device and tubing. Promptly remove condensation japan number data in the system.
3 Implement strategies to prevent catheter-associated bloodstream infection and catheter-associated urinary tract infection.
including device-related pressure injuries, incontinence-associated dermatitis, and medical tape-related skin lesions. Identify high-risk patients using the Risk Assessment Scale and implement preventive strategies.

5 Assess all patients on admission and when their clinical status changes using a VTE risk assessment model to identify high-risk individuals and implement preventive strategies. Monitor coagulation function, D-dimer levels, and VTE-related clinical manifestations.

6 Assist with feeding of weak patients with respiratory distress or patients with markedly fluctuating oxygenation index. Strengthen oxygenation index monitoring in these patients during feeding. Provide enteral nutrition early in the course of treatment for those who are unable to take oral nutrition. Adjust the rate and amount of enteral feeding during each shift according to tolerance of enteral feeding.