Positioning Flashcards
Trendelenburg
head lower than feet
fowlers
supine HOB 40-50 degrees
semi fowlers
supine HOB 30 degrees
prone
abdomen
high fowlers
supine HOB 90 degrees
burns to face
elevate HOB to prevent or reduce facial head and trachial edema
circumferential burns of extremeties
eleveate extremities above level of heart to prevent ad reduce edema
mastectomy
semi fowlers with affected arm elevated on pillow
thyroidectomy
semi fowlers to reduce edema in nec area
hemorrhoidectomy
lateral to prevent pain and bleeding
GERD
reverese trendelenburg to promote gastric emptying and prevent reflux
Liver biopsy
During: left side supine with right arm raised and extened over left shoulder behind head
After: right side lying (lateral). applt pressure for 3 hours to prevent bleeding
nasogastric tube
insertion: high fowlers
irrigation and feeding: semi fowlers
enema and rectal irrigations
left sims to allow solution to flow
COPD
sitting, leaning forward, arms on table
Thoracentesis
during: upright or sitting at the edge of bed , arms on teh overbed table , leaning forward and feet supported on foot stool
after: lay on unaffected side for 1 hr to prevent leakage
epistaxis
sitting, upright leaning forward with head tipped
plmonary edema
high fowlers with legs slightly dependent (lowered)
flail chest
semi fowlers turned towards affected side to control breathing
SIDS
supine or side lying position in firm bed
DO NOT PLACE IN PRONE DURNG SLEEP
CHF
high fowlers
arterial insuff.
lower extremeties slighly lower than level of heart
venous insuff
lower extremeties elevated. promote venous return
tet spell
knee chest or squatting
air emobolism
left side lying, trendelenburg to allow air to be absored in the right side of the heard and prevent pulmonary emobolism
dumoing syndome
left side lying to slow down emptyinh of gastic contents
cleft lip
side lying to prevent aspiration
NO TO PRONE
restain elbow to prevent trauma to suture line
cleft palate
side lying and prone
renal biopsy
during: prone
after: supine to apply pressure adn prevent bleeding
shock
modified trendelenburg