The Nursing care for Upper airway obstruction due to Submandibular space abscess

Abstract

     This study is a case study aimed at studied nursing care of patients with upper airway obstruction due to Submandibular space abscess and to serve as a guideline for nursing personnel in evaluating, monitoring, and providing appropriate and accurate nursing care. Studying by selecting specific methods. Patient’s diagnosis with upper airway obstruction due to Submandibular space abscess in the otolaryngology and ophthalmology ward, Debaratana Nakhonratchasima Hospital.

     The results of the study found that a Thai female 32 years old, was referring from a community hospital. Presented with significant symptoms, fever and swollen chin 1 week before coming to the hospital, along with fever, dry cough, swallowing saliva and sore throat, tooth decay, swelling under the left chin, red and hot. Admitted to hospital on 5 May 2023, Dx. Lt.Submandibular abcess. The patient denies underlying disease. While the patient was in care received intravenous antibiotics, had a tooth extracted, and had incision and drainage. After surgery, an important nursing problem was found, namely oxygen depletion due to upper airway obstruction, difficult intubation due to swollen tissues in the upper airway and limited ability to open the mouth, hyperglycemia, risk of unsuccessful weaning from the ventilator, stress and anxiety from illness and received re-intubation moved to the ICU ward and used a ventilator for 6 days. The patient is safely past the critical stage. Symptoms gradually improved and moved back to the female surgery ward. The doctor allowed him to go home. Including 11 days of hospital stay. Follow-up appointment at the dental department and the Internal Medicine Department on 29 May 2023.