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Positoning pt (cr)
positioning pt
POSITION | INDICATION | RATIONALE |
---|---|---|
Dorsal recumbent (supine) | _spinal cord injury -Urinary catheter inseration -vaginal examination | -immobilizes the spine |
Fowler's | -Head injury,cranial surgery,ICP -after abd surgey -dyspnea -vomiting -after thyroidectomy -after eye surgery | -enables examination -immobilizes the spine -promotes drainage,cardiac output and ventilation -prevents aspiration of food and secretions |
High Fowler's | -head injury, ICP,cranial surgery -Dyspnea,respiratory distress -Feeding (during and after meals) -haital hernia | promotes drainage,cardiac output and ventilation -prevents aspiration |
Lateral (side-lying) | -after abd surgery -coma -pressure ulcer -enema or rectal irrigation | -promotes safety -prevents atelectasis pressure ulcers,and aspiration of food and secretions |
Lithotomy | Perineal and rectal procedures | enables examination of the pelvis |
Prone | Immobilization -acute respiratory distress syndrome -after lumbar puncture or myelogram | Enables examnination of the back and spine -promotes gas exchange |
Reverse trendelenburg's | -cervical traction -after lower extremity vessel surgery | -provides counter balance for traction -promotes blood flow to the lower extremeties |
Semi-Flower's | -head injury, cranial surgery, ICP, -after abd surgey -dyspnea -vomiting -after thyroidectomy -after eye surgery | promotes drainage,cardiac output and ventilation -prevents aspiration |
Sims | -coma -rectal injuries | -enables examination of the back and rectum -prevents pressure ulcers and atelectasis |
Trendelenburg's | -shock -cystic fibrosis | promotes pastural drainge and venous return |
Elevation of extremity | -thrombophlebitis -After cast application -edema -after surgery on extremity | -promotes circulation and comfort -enables examinations and procedures - |