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28 Cards in this Set

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Air/Pulmonary Embolism
Positioning, Sign and Symptoms
Position:
LEFT, LOWER
-Turn patient to LEFT side, LOWER the head of bed.
Signs and Symptoms
a. Chest Pain
b. Difficulty Breathing
c. Tachycardia
Tube Feeding with Decreased LOC
a. Position on Right
b. Elevate Head of Bed
Lumbar Puncture and Oil-Based Myelogram, after
Flat Supine to prevent headache and leaking of CSF
During Continuous Bladder Irrigation
a. Tape catheter to thigh
b. No position restriction
Myringotomy
a. Position on side of AFFECTED EAR for drainage of secretions
Cataract Surgery, after
Sleep on UNAFFECTED SIDE with night shield for 1-4 weeks
Thyroidectomy, after
LOW or SEMI FOWLER's. Support head, neck and shoulders.
Infant with Spina Bifida
On PRONE so sac does not rupture
Buck's Traction
ELEVATE foot of bed for counter traction
Total Hip Replacement, after
a. DON'T sleep on affected side.
b. DON'T FLEX hip more than 45-60 degrees
c. DON'T ELEVATE head of bed more than 45 degrees
d. Maintain hip ABDUCTION. Separate thighs with pillows.
Prolapsed Cord
Knee Chest Position or TRENDELENBURG
Cleft Lip, Feeding Infant
On Back or Infant Seat to prevent trauma to suture line
Dumping Sydrome, Prevention after Stomach Surgeries
a. Eat on RECLINING position.
b. Lie down for 20-30 Minutes
c. Low CHO diest
Amputation, Below the Knee
a. Elevate LEG for FIRST 24 Hours
b. PRONE daily to provided hip extension
Amputation, Above the Knee
a. Elevate foot of bed for 24 hours
b. PRONE daily to provide hip extension
Detached Retina
Area of detachment should be in the dependent position
Enema, Administration
LEFT SIDE LYING (Sim's) with knee flexed.
Supratentorial Surgery (behind hairline), after
Elevate head of bed 30-45 Degrees
Infratentorial Surgery (nape of neck), after
FLAT and LATERAL on either side
Radiation, with Internal
On BEDREST while implant is in place.
Patient Position:
Autonomic Dysreflexia/Hyperreflexia
SITTING position (elevated head) before any other implementation
Signs and Symptoms:
Pounding Headache, Profuse sweating, Nasal congestion, HTN, Bradycardia
Shock
BEDREST with extremities elevated at 20 degrees, knees straight and head slightly elvated.
Injury, Head
Elevate HOB 30 degrees to decrease intracranial pressure.
Peritoneal Dialysis when outflow is Inadequate
Turn patient from side to side BEFORE checking kinks in tubing
Lumbar Puncture, after
On SUPINE position for 4-12 hours
Maternity:
Cord Compression
Mother in TRENDELENBURG, it removes pressure off the cord.
Maternity:
Late Decels
Mother on LEFT SIDE to allow more blood flow.
Maternity:
Any bad FHR
Give mother O2 by mask.