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39 Cards in this Set

  • Front
  • Back
immobilized 3-7 days -- graft to adhere and attach to wound bed
**Burns of face and head
elevate head of bed to prevent or reduce facial head, tracheal edema
Skin graft
elevate and immobilize graft site
circumferential burns of extremeties
elevate extremeties above level of the heart to reduce dependent edema
HOB at least 30 degrees with affected arm elevated on a pillow to promote lymphatic fluid return after removal of axillary lymph nodes
elevate HOB
** Thyroidectomy
Semi-fowlers to reduce swelling and edema in neck area -- pillow to support neck
lateral side-lying to prevent pain and bleeding
Liver biopsy
During procedure -- supine with right side of abdomen exposed -- right arm raised and extended over left shoulder behind head

After procedure -- lateral - sidelying position -- small pillow or folded towel under puncture site for at least 3 hours
Intestinal tubes (miller-abbott, cantor, harris)
rotate as prescribed -- 2 hours right -- 2 hours back -- 2 hours left -- elevate hob
Insertion -- High-fowlers with head tilted forward

Irrigations and tube feeding -- semi-fowlers -- keep elevated for 1 hour after an intermittent feeding and keep elevated for continuous feeding
Rectal enema/irrigation --
left sims
Sengstaken-Blakemore and Minnesota --
Elevate HOB to enhance lung expansion and reduce portal blood flow -- permit effective compression of varices
sitting, leaning forward, with arms over several pillows or an overbed table
Laryngectomy (radical neck dissection)
semi-fowler or fowler
Bronchoscopy post
Postural drainaged
lung segment to be drained in uppermost position
During -- sittig on edge of bed, leaning over table with feet on stool or ling in bed on unaffected side with HOB fowlers

After procedure -- comfort position
Thoractomy **
check physician order
Abdominal aneurysm resection
limit elevation of HOB to 45 degrees -- turn from side to side regularly
Amputation of lower extremity **
first 24 elevate foot of bed then keep flat to prevent hip flexion contractures -- prone every 3 to 4 hours for twenty minutes -- keep legs close together to prevent abduction -- contract gluteal muscles
arterial vascular grafting of extremeity
bed rest for 24 hours and extremity is kept straight -- limit movement and avoid flexion of hip and knee
Cardiac cath ***
extremity that cath inserted kept straight 4-6 hours -- femoral artery then bedrest 6-12 hours (client can turn from side to side) -- leg kept straight and HOB no more than semi-fowler until hemostasis
** CHF/Pulmonary edema
upright with legs dangling to decrease venous return and lung congestion
bed rest with elevated of affected extremity -- no knee gatch or pillow placed under
Vein ligation and stripping
elevate feet above level of heart -- no leg dangle or chair sit
post -- elevate HOB 30 to 45 -- back or nonoperative side to prevent development of edema
Retinal reattachment
physicians order for position
Autonomic dysreflexia --
High Fowler
Cerebral aneurysm
complete bedrest with HOB elevated to 30 to 45
Cerebral angiography
bedrest for 6 to 24 hours as prescribed

extremity kept straight and immobilized
Hemorrhagic strokes -- semi fowler

Ischemic strokes -- flat --

Head in midline neutral position -- avoid extreme hip (increase intrathoracic pressure) and neck ( prohibit venous drainage) flexion
don't position on operative site especially if bone flap removed -- HOB at 30 to 45 degrees -- head midline, neutral
avoid extreme hip and neck flexion
log roll client -- straight back chair with feet on floor
30 to 45 degrees, head midline -- avoid extreme hip and neck flexion
Lumbar puncture
lateral (side-lying) with back bowed at edge of table -- after put pt. in supine position for 4 to 12 hours
water-soluble dye used -- HOB elevated for at least 8 hours -- oil based dye than position flat in bed to 6-8
** spinal cord injury
head immobilized
** Hip Surgery
avoid extreme positions and acute flexion of operative hip and keep affected leg abducted -- pillow between legs -- prevent external rotation by placing trochanter role bedside external aspect