How much more oxygen is used when patients reposition?
>1/2 liter more O2/min
What are precautions for hip replacement patients when positioning?
Do NOT flex hip past 90 degrees
Keep in external rotation
When is Fowler’s position used?
- Decrease pooling of resp. secretions/urine
- Promote lung expansion
- Feeding/tube insertions.
What are the advantages of Low Fowler’s (30 degrees) position?
- minimal position for tube feeding for patient’s with low back pain.
- Prevents acid reflux/aspiration
When should High Fowler’s position be used?
What are the disadvantages?
Use for: Severe respiratory distress/swallowing problems.
Disadvantage: Uncomfortable for leg/lower back pain
What is important to note when leaving a patient in supine position?
Pressures sores can develop on tail bone and heels
What are the advantages of supine position?
What are the disadvantages?
Advantages:
- Supports cardiac function
- Elevation of extremeties
Disadvantages:
- Compromises respiratory/renal function
When should modified lateral position be used?
- Reduce pressure of greater trochanter
- Enhance resp. function
When is lateral jackknife position used?
Only for surgery
When should SIMs position be used?
- Patients with multiple pressure sores
- Improve Resp. function with drainage
- Administer enema
Why is prone position the least used?
- Arms require protection
- Requires great effort to maintain
What is dorsal recumbent position used for?
What are the disadvantages?
- Diagnostic procedures
- Privacy issues
Disadvantages: Can increase risk for DVT/hypotension
What is trendelenburg position used for?
- Postural drainage
- Venous return
What is reverse trendelenburg position used for?
- Decrease resp. rate and increase tidal volume (Large abdomens)
- Gastric emptying
