Patient Positioning PDF

Patient Positioning Epidural puncture → side lying During lumbar puncture → lateral recumbent fetal position After lumbar puncture → supine (to prevent headache and leaking of CSF) Pulmonary embolism → turn to left side and lower HOB Shortness of breath → high fowlers Lung biopsy → lay on side...

Patient Positioning Epidural puncture → side lying During lumbar puncture → lateral recumbent fetal position After lumbar puncture → supine (to prevent headache and leaking of CSF) Pulmonary embolism → turn to left side and lower HOB Shortness of breath → high fowlers Lung biopsy → lay on side of the bed or with arms raised up on pillows over bedside table Chest tube insertion → arm raised above head NG tube placement → high fowlers Tube feeding with decreased LOC → put on right side (promotes emptying of stomach) with HOB elevated (prevent aspiration) Prevent dumping syndrome → eat in low-fowlers, lie down after meals for 30 min Hiatal hernia → Fowler or semi-Fowler (reduce regurgitation) After thyroidectomy → low semi-fowlers After myringotomy → lay on affected ear (allows drainage) After cataract surgery → lay on unaffected side During continuous bladder irrigation → keep leg straight During internal radiation → on bedrest while implant in place Pt with heat stroke → lie flat with legs elevated After total hip replacement → sleep on unaffected side, don’t elevate HOB more than 45 degrees, maintain hip abduction by separating thighs with pillow Buck’s Traction → elevate foot of bed for counter traction Above and below knee amputation → elevate for first 24 hours, position prone daily for hip extension Back pain → William’s position Myocardial infarction → semi-fowlers Autonomic dysreflexia/hyperreflexia → elevate HOB Head injury → elevate HOB 30 degrees (decrease intracranial pressure)  Patient Positioning After supratentorial surgery (incision behind hairline) → elevate HOB 30-45 degrees After infratentorial surgery (incision at nape of neck) → lay flat and lateral on either side Peritoneal dialysis when outflow is inadequate → turn pt side to side then check for kinks in tubing Administering an enema → lay on left side with knees flexed (Sim’s) After appendectomy → right side with legs flexed During paracentesis → High fowler’s (HOB 45-90 degrees) During thoracentesis → sit at edge of bed, lean forward, and rest arms on table Spina bifida → prone (so sac doesn’t rupture) Infant with cleft lip → side, supine, or upright in infant seat to prevent ripping of suture line. Infant with ONLY cleft palate → side or abdomen Woman in labor with unreassuring FHR → turn on left side Prolapsed cord → knee to chest or Trendelenburg