2bNurse_YM

Ineffective airway clearance related to increased mucous production due to presence of tube in trachea......Powerlessness related to dependency on ventilator.......Impaired verbal communication related to ETT and ventilator.....But wha diagnosis can i put for the DKA if the patient is not having any complications ? Can i put risk for infection related to the tube if the patient is already in sepsis?

OK...So I observed a patient in the ICU, came in through the ER with DKA and Right ankle osteomyelitis/abscess, complicated by sepsis. Experienced respiratory depression after desating to 80s on face mask, failed bipap trial, persistant tachypnea with increased agitation and poor mental status--so patient was intubated. Vitals-107/60, Resp 29, Pulse 82, O2 97%.... Patient was dong really well, he was on medication to keep him sedated, on bronchodilators, on tylenol prn, on insulin drip to control the DM, on pepcid, cipro and s/p 2U PRBC. Had ETT in place, foley, colostomy, NG tube, on mechanical vent and wound vac for abscess on right ankle.. I NEED SOME NURSNG DIAGNOSES....I was thinking ineffective tissue perfusion r/t swelling on ankle...