POSITIONING CLIENTS Flashcards
Orthopneic position
ASTHMA
Flat on bed with head hyperextended
POST BRONCHOSCOPY
High-Fowlers
CEREBRAL ANUERYSM
HOB elevated 30 degrees to reduce ICP and facilitate venous drainage
HEMORRHAGIC STROKE
HOB flat
ISCHEMIC STROKE
Keep site extended
CARDIAC CATHETERIZATION
Lean forward
EPISTAXIS
- Elevate for first 24 hours on pillow
- position on prone daily for hip extension
ABOVE KNEE AMPUTATION
- Foot of bed elevated for first 24 hours
- Position prone daily for hip extension
BELOW KNEE AMPUTATION
- Position pt on right side (to promote emptying of the stomach)
- HOB elevated to prevent aspiration
TUBE FEEDING FOR PATIENTS WITH DECREASED LOC
- Turn pt to the left side and lower HOB
AIR/PULMONARY EMBOLISM
Lung segment to be drained should be in the UPPERMOST POSITION to allow gravity to work.
POSTURAL DRAINAGE
Pt should LIE FLAT IN SUPINE to prevent headache and leaking of CSF
POST LUMBAR PUNCTURE
Catheter should be taped to thigh so legs should be kept straight
CONTINUOUS BLADDER IRRIGATION
Position ON THE SIDE OF AFFECTED EAR after surgery (allows drainage of secretion)
AFTER MYRINGOTOMY
Patient will sleep on UNAFFECTED SIDE with a night shield for 1-4 weeks
POST CATARACT SURGERY
Area of detachment should be in the DEPENDENT POSITION
Detached Retina
Low or Semi-Fowlers, support head, neck and shoulders
POST THYROIDECTOMY
DURING: Sitting on the side of the bed and leaning over the table
AFTER: Affected side up
THORACENTESIS
Position infant on PRONE so that the sac does not rupture
SPINA BIFIDA
Elevate feet of bed for counter-traction
BUCK’S TRACTION
- Maintain hip abduction by separating thighs with pillows
- DONTS:
~> Dont sleep on operated side
~> Dont flex hip more than 40-50
degrees
~> Dont elevate HOB more than 45
degrees
POST TOTAL HIP REPLACEMENT
Knee chest position/Trendelenburg
PROLAPSE CORD
- Position on back or in infant seat to prevent trauma to the suture line.
- While feeding, hold in upright position
CLEFT-LIP
Prone
CLEFT-PALATE
Assist to Lateral Position
HEMORRHOIDECTOMY
Upright position
HIATAL HERNIA
- Eat in reclining position
- Lie down after meals for 20-30 minutes
PREVENTING DUMPING SYNDROME
Position patient in Left-side lying (Sim’s position) with knees flexed
ENEMA ADMINISTRATION
Elevate HOB 30-45 degrees
POST SUPRATENTORIAL SURGERY
(Incision behind hairline)
Position falt and lateral on either side
POST INFRATENTORIAL SURGERY
(Incision at nape of neck)
High fowlers
INCREASED ICP
- Back as straight as possible
- Log roll to move and sand bag on sides
LAMINECTOMY
- Immobilize on spine board with head in NEUTRAL POSITION
- Immobilize head with padded C-collar
- Maintain traction and alignment of head manually
- Log roll client and do not allow client to twist or bend
SPINAL CORD INJURY
Right side lying with pillor ow small towel under puncture site for at least 3 hours
LIVER BIOPSY
Flat on bed or sitting
PARACENTESIS
Place patient on the right side to facilitate passage into duodenum
INTESTINAL TUBES
- Elevate HOB 30 degrees to orevent aspiration
- Maintain elevation for continuous feeding or 1 hour after intermittent feedings
NASOGASTRIC TUBES
Knee chest or Sims or Dorsal Recumbent
RECTAL EXAM
Patient should be on bed rest while while implant is in place
DURING INTERNAL RADIATION
Place client in SITTING POSITION (elevate HOB) first before any other implementation
AUTONOMIC DYSREFLEXIA
Best rest with extremities elevated 20 degrees, knee straight, head slightly elevated (Modified Trendelenburg)
SHOCK
Elevate HOB 30 degrees to decrease intracranial pressure
HEAD INJURY
Turn pt side to side before checking for kinks in teh tubing
PERITONEAL DIALYSIS (when outflow is inadequate)
Semi-fowlers for at least 8 hours
MYELOGRAM WATER-BASED DYE
Flat on bed for at least 6-8 hours to prevent leakage of CSF
MYELOGRAM OIL-BASED DYE
Trendelenburg
MYELOGRAM AIR DYE
Left during, right after
LIVER BIOPSY
