Positioning

Question 1

What do you do to prevent corneal abrasions?

Answer 1

Tape Eyes

Question 2

What is second most common type of anesthetic complication represented by ASA Closed claim database?

Answer 2

Nerve damage

Question 3

What are 3 most common claims for nerve injuries?

Answer 3

1) Ulnar nerve
2) Brachial plexus
3) Lumbosacral nerve plexus

Question 4

Do you supinate or pronate the forearm to prevent ulnar nerve injuries?

Answer 4

Supinate

Question 5

What is most common type of patient self inflicted injury?

Answer 5

Corneal abrasions due to patient scratching itchy or dry eyes after surgery

Question 6

Who determines when the patient is moved?

Answer 6

Anesthesia

Question 7

Position for spine fusions or surgeries on back?

Answer 7

Prone

Question 8

Position for lung surgeries, kidney or hip surgeries?

Answer 8

Lateral decubitus

Question 9

How do you name the position “left or right” lateral decubitus?

Answer 9

Patients side that is down (left lateral decub is when patient on left side down)

Question 10

What kind of surgeries use the lithotomy position?

Answer 10

Urology procedures, GYN surgeries

Question 11

What is most common type of surgery position and one that is used in cardiac procedures and abdominal procedures?

Answer 11

Supine

Question 12

What position is used when when undergoing induction of general anesthesia?

Answer 12

Supine

Question 13

What is another name for supine position?

Answer 13

Dorsal decubitus

Question 14

What pressure points must be padded in supine position?

Answer 14

Head, hand, elbow, calceanous of foot, calf muscles

Question 15

True or false, you still have to pad elbows when tucking arms in supine position?

Answer 15

TRUE

Question 16

What is another name for prone position?

Answer 16

Ventral decubitus

Question 17

What pressure points must be padded in prone position?

Answer 17

Head, forearms (from elbow to hand), kneecap, anterior part of lower leg on pillows raised

(in some cases must have pad under upper body cavity to ensure flat surface on the back and spine in flat line)

Question 18

What position has the bottom leg flexed with other leg on top with leg straight and pillow in between?

Answer 18

Lateral decubitus

Question 19

How do you position arms in lateral decubitus position?

Answer 19

Bottom arm on armboard padded at elbows and hands, top arm on raised special arm board support padded at elbows and hands. Neither shoulder should be flexed more than 90* to body

Question 20

Name pressure points and padded placements in lateral decubitus position?

Answer 20

Head, arms, along line of nipples near axillary line, strapped at waist, pillow between legs with bottom leg padded at knee

Question 21

In what position are legs supposed to parallel to floor with hips extended to 90*?

Answer 21

Lithotomy

Question 22

What is trendelenburg?

Answer 22

Making head lowered to floor with feet raised

Question 23

What position makes bed orient so head is raised upwards with feet going towards the floor?

Answer 23

Reverse trend

Question 24

A patient develops right foot drop after GA for repair of a vesicovaginal fistula. (Loss of dorsiflexion) What most likely happened?

Answer 24

Common peroneal injury from lithotomy position

Question 25

What cardiorespiratory effect will occur immediately after a pt is changed from supine position to steep reverse trend?

Answer 25

BP down, HR up, CO down, FRC up, RA filling pressure down

Question 26

What hemodynamic changes should be expected in a pt when is positioned from supine to sitting position?

Answer 26

BP down, CO down, HR up

Question 27

What do you give when quickly treating patients with sudden changes in hemodynamics from taking pt from supine to severe reverse trend?

Answer 27

Phenylephrine or Ephedrine

Question 28

Where should the axillary role be placed?

Answer 28

under the thorax caudal to the axilla

Question 29

What physiologic parameter increase when the patient is moved from supine to trendelenberg?

Answer 29

HR and FRC increase

Question 30

What is the name of the device that secures the head during a neuro procedure?

Answer 30

Mayfield