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Diagnosis Nursing Diagnoses • Ineffective airway clearance related to lack of ability to clear respiratory secretions • Risk for ?uid volume de?cit associated to incapability to ingest ?uids • Impaired oral mucous membranes associated to mouth respiratory, absence of pharyngeal re?ex, and inability to ingest ?uids • Risk for impaired skin integrity associated to immobility or restlessness • Impaired tissue integrity of cornea related to diminished or absent corneal re?ex • Ineffective thermoregulation related to damage to hypothalamic middle • Impaired urinary elimination (incontinence or retention) associated to impairment in neurologic sensing and control • Bowel incontinence associated to impairment in neurologic sensing and management and also associated to changes in nutri tional delivery strategies • Disturbed sensory notion associated to neurologic impairment • Interrupted family processes related to health disaster 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 period could include major tenance of a clear airway, safety from harm, attainment of ?uid volume steadiness, achievement of intact oral mucous 642 Unconscious Patient membranes, upkeep of regular skin integrity, absence of corneal irritation, attainment of efficient thermoregulation, effective urinary elimination, bowel continence, accurate notion of environmental stimuli, maintenance of intact family or support system, and absence of problems [url=http://www.septiembre.esc.edu.ar/program/purchase-modafinil-online/] insomnia zinc deficiency discount 100mg modafinil mastercard[/url]. 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