Important Positions for Various Conditions Flashcards
Laminectomy
log roll
post op: place in supine position
Tube inserted in GI tract
right side
Enema
- left side lying; insert tube 3-4 inches (7-10cm), do not hang enema bag greater than 12-18inches (30-45cm)
Amputation: lower extremity
- elevate stump 1st 24 hrs only
- elevate the bed not just the stump, to prevent contracture, place client prone position several times
Cast
elevate part
Compression bandages
- reduces edema and pain
- wrap limb distal to proximal
Gastric Resection
AVOID DUMPING SYNDROME
- lie down after eating
- do not drink with meals
- Vitamin B12 replacement necessary
Liver biopsy
Pre procedure:
-place on left side, elevate right arm-may also be placed supine
Post procedure:
-place on right side with a small pillow to decrease bleeding
Pneumonectomy
place on operative side post-op
Respiratory Distress
high flowers/orthopneic position
Mastectomy
DO NOT ABDUCT
- causes strain on suture line
- elevate arm on pillow (same side as operative breast)
- exercises: wall climbing, rope turning, broom lifting, hair combing
Retina Detatchment
- lay on AFFECTED side
- any other eye surgery lay on UNAFFECTED side
Venous
Keep legs elevated (V)
Arterial
Keep legs dependent (A)
Radical Neck Dissection
Affected side
Kidney Biopsy
pre procedure: position prone
HOLD aspirin 1-2 weeks prior to procedure
post procedure: position supine; hematuria and pain expected for a few days
Hip Surgery
ABDUCT
- use abduction pillow between legs to immobilize and prevent dislocation
- never cross legs or bend over
- use a raise toilet seat; use a raised -high chair
- lay on unaffected side
