Positioning

Thursday, August 23, 2012 4:35 PM

Abdominal aneurysm surgery: Appendicitis: Asthma: Bronchoscopy: Broncholitis: Cast: Cataract surgery: Cerebral aneurysm: Cleft lip: Cleft palate: Congestive heart failure: Craniotomy:

Fowler position to prevent pressure on the graft. Any position if unruptured, and semi fowler if ruptured. Sitting position, leaning forward, to promote patient breathing Semi Fowler, to prevent aspiration after procedure. Tripod position. elevate extremity to prevent edema. Semi fowler to prevent edema at the operative site. Semi fowler. Supine after operation, prevent pressure on the suture line. Prone position. High Fowler that improve oxygenation. Semi fowler if supratentorial, and Flat if infratentorial that can promote drainage from the head. Elevate the head to reduce intra cranial pressure. Leaning forward to prevent blood aspiration. Keep patient on affected side to promote expansion of the unaffected lung. Side lying. Upright position after meals to prevent reflux of stomach contents. Legs in abduction position that can prevent dislodge of the head of the femur from acetabulum. Elevate head of the bed to prevent increase

Cerebro vascular accident: Epistaxis: Flail chest: Hemorroidectomy: Hiatal hernia: Hip surgery:

Hypophysectomy:

intracranial pressure Increased Intracranial Pressure (ICP): Laminectomy: Laryngectomy: Liver biopsy: Lobectomy: Lumbar puncture: Mastectomy: Myelogram: Placenta previa: Pulmonary edema: Pyloric stenosis: Radium implant in the cervix: Retinal detachment: Seizure: Spinal cord injury: Thoracentesis: Thrombophlebitis: Thyroidectomy: Tonsillectomy: Total Parenteral Nutrition: Elevate head of the bed. Prevent twisting of the spine with keeping the back as straight as possible. Semi fowler for maintaining airway and reduce edema. Right side position post procedure to prevent patient from bleeding. Semi fowler Lateral side lying during procedure and flat after procedure. Elevate the extremity of the affected side (on pillow) to prevent edema. Elevate the head if water based dye was used, and flat if oil based dye was used. Sitting position that can minimize bleeding. Fowler position. Right side lying position after meal, to facilitate entry of the stomach contents into the intestines. Flat to prevent dislodge of the implant. The affected side toward the bed to help the detached retina to fall back in place. Side lying position Immobilize the patient Fowler position during procedure and any position after Bed rest and elevate the affected leg to promote circulation Semi Fowler ad avoid hyperflexion and hyperextension of the neck. Sidelying or prone Trendelenburg during tube insertion to prevent air embolism

Tracheoesophagel Fistula (TEF): Varicose veins: Vein stripping and ligation: Air/Pulmonary Embolism (S&S:chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) Tube Feeding w/ Decreased LOC After Lumbar Puncture (and also oil-based Myelogram)--> Pt w/ Heat Stroke --> During Continuous Bladder Irrigation (CBI) After Myringotomy After Cataract Surgery Infant Spina Bifida Buck's Traction (skin traction) After Total Hip Replacement

Supine with the head elevated at least 30 degrees elevate the legs above the level of heart Legs are elevated to prevent venous stasis turn pt to left side and lower the head of the bed.

turn on left side (and give O2, stop Pitocin, increase IV fluids) position pt on right side with the HOB elevated pt lies in flat supine (to prevent headache and leaking of CSF) lie flat w/ legs elevated catheter is taped to thigh so leg should be kept straight. No other positioning restrictions. position on side of affected ear after surgery (allows drainage of secretions) pt will sleep on unaffected side with a night shield for 1-4 weeks. position prone (on abdomen) so that sac does not rupture elevate foot of bed for counter-traction don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows. knee-chest position or Trendelenburg eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals) elevate for first 24 hours on pillow, position prone daily to provide for hip extension. foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.

Prolapsed Cord To Prevent Dumping Syndrome (postoperative ulcer/stomach surgeries) Above Knee Amputation Below Knee Amputation

Administration of Enema Supratentorial Surgery (incision behind hairline) Infratentorial Surgery (incision at nape of neck) During Internal Radiation

position pt in left side-lying (Sim's) with knee flexed elevate HOB 30-45 degrees position pt flat and lateral on either side. on bedrest while implant in place

Autonomic Dysreflexia/Hyperreflexia (S&S: place client in sitting position (elevate HOB) first pounding headache, profuse sweating, nasal before any other implementation. congestion, goose flesh, bradycardia, hypertension) Shock bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg) elevate HOB 30 degrees to decrease intracranial pressure

Head Injury