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Positioning Thursday, August 23, 2012

4:35 PM

 

Abdominal aneurysm surgery: Fowler position to prevent pressure on the graft.

Appendicitis: Any position if unruptured, and semi fowler ifruptured.

Asthma: Sitting position, leaning forward, to promote patient breathing

Bronchoscopy: Semi Fowler, to prevent aspiration after procedure.

Broncholitis: Tripod position.

Cast: elevate etremity to prevent edema.

Cataract surgery: Semi fowler to prevent edema at the operative site.

Cerebral aneurysm: Semi fowler.

Cleft lip: Supine after operation, prevent pressure on the

suture line.

Cleft palate: !rone position.

Congestive heart failure: "igh Fowler that improve oygenation.

Craniotomy: Semi fowler if supratentorial, and Flat if

infratentorial that can promote drainage from the

head.

Cerebro vascular accident: #levate the head to reduce intra cranial pressure.

#pistais: $eaning forward to prevent blood aspiration.

Flail chest: %eep patient on affected side to promote epansionof the unaffected lung.

"emorroidectomy: Side lying.

"iatal hernia: &pright position after meals to prevent reflu of

stomach contents.

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"ip surgery: $egs in abduction position that can prevent dislodge

of the head of the femur from acetabulum.

"ypophysectomy: #levate head of the bed to prevent increase

intracranial pressure

'ncreased 'ntracranial !ressure ('C!): #levate head of the bed.

$aminectomy: !revent twisting of the spine with *eeping the bac*

as straight as possible.

$aryngectomy: Semi fowler for maintaining airway and reduce

edema.

$iver biopsy: +ight side position post procedure to prevent patient

from bleeding.

$obectomy: Semi fowler 

$umbar puncture: $ateral side lying during procedure and flat after

 procedure.

astectomy: #levate the etremity of the affected side (on pillow)to prevent edema.

yelogram: #levate the head if water based dye was used, and

flat if oil based dye was used.

!lacenta previa: Sitting position that can minimi-e bleeding.

!ulmonary edema: Fowler position.

!yloric stenosis: +ight side lying position after meal, to facilitateentry of the stomach contents into the intestines.

+adium implant in the cervi: Flat to prevent dislodge of the implant.

+etinal detachment: The affected side toward the bed to help the

detached retina to fall bac* in place.

Sei-ure: Side lying position

Spinal cord inury: 'mmobili-e the patient

Thoracentesis: Fowler position during procedure and any position

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after 

Thrombophlebitis: Bed rest and elevate the affected leg to promotecirculation

Thyroidectomy: Semi Fowler ad avoid hyperfleion andhyperetension of the nec*.

Tonsillectomy: Sidelying or prone

Total !arenteral /utrition: Trendelenburg during tube insertion to prevent air

embolism

Tracheoesophagel Fistula (T#F): Supine with the head elevated at least 01 degrees

2aricose veins: elevate the legs above the level of heart

2ein stripping and ligation: $egs are elevated to prevent venous stasis

Air3!ulmonary #mbolism (S4S:chest pain,difficulty breathing, tachycardia, pale3cyanotic,

sense of impending doom)

turn pt to left side and lower the head of the bed.

5oman in $abor w3 &n6reassuring F"+ (late

decels, decreased variability, fetal bradycardia,etc)

turn on left side (and give 78, stop !itocin, increase

'2 fluids)

Tube Feeding w3 9ecreased $7C position pt on right side with the "7B elevated

After $umbar !uncture (and also oil6basedyelogram)66

 pt lies in flat supine (to prevent headache andlea*ing of CSF)

!t w3 "eat Stro*e 66 lie flat w3 legs elevated

9uring Continuous Bladder 'rrigation (CB') catheter is taped to thigh so leg should be *eptstraight. /o other positioning restrictions.

After yringotomy position on side of affected ear after surgery (allows

drainage of secretions)

After Cataract Surgery pt will sleep on unaffected side with a night shield

for ;6< wee*s.

'nfant = Spina Bifida position prone (on abdomen) so that sac does not

rupture

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Buc*>s Traction (s*in traction) elevate foot of bed for counter6traction

After Total "ip +eplacement don>t sleep on operated side, don>t fle hip more than