About
Oral mucosa alteration as a result of antibiotics, surgery, radiation, infection causing pain, erythema and/or white patches ( thrush) in oral cavity.
Assess
Oral pharynx for the presence of white patches, reddened mucosa, painful swallowing, pain in mouth
Complications
Decreased or absent oral intake- replace fluids with IV fluids, assess for need of alternate nutrition method ( TPN, tube feeding, NG tube, Dobhoff) until resolution of stomatitis.
Diagnosis
- Infection, risk for r/t impaired mucous membranes
- Nutrition less than body requirements r/t altered oral intake
Goals
Client will tolerate oral intake.
Client will state a decrease in pain.
Interventions
- Monitor oral pharynx for changes and improvement.
- Encourage nutritional intake with high caloric, high nutrition supplements.
- Administer frequent mouth care.
- Administer analgesics, topical oral anesthetics, antifungals as ordered.
- Administer swish and swallow nystatin as ordered.
- Administer IV fluids and TPN as ordered.
- Notify physician if increase in pain, presence of white patches.
- Monitor for signs/ symptoms of complications.
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