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positioning pt

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POSITION
INDICATION
RATIONALE
Dorsal recumbent (supine)   _spinal cord injury -Urinary catheter inseration -vaginal examination   -immobilizes the spine  
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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  
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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  
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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  
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Lithotomy   Perineal and rectal procedures   enables examination of the pelvis  
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Prone   Immobilization -acute respiratory distress syndrome -after lumbar puncture or myelogram   Enables examnination of the back and spine -promotes gas exchange  
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Reverse trendelenburg's   -cervical traction -after lower extremity vessel surgery   -provides counter balance for traction -promotes blood flow to the lower extremeties  
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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  
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Sims   -coma -rectal injuries   -enables examination of the back and rectum -prevents pressure ulcers and atelectasis  
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Trendelenburg's   -shock -cystic fibrosis   promotes pastural drainge and venous return  
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Elevation of extremity   -thrombophlebitis -After cast application -edema -after surgery on extremity   -promotes circulation and comfort -enables examinations and procedures -  
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Created by: crichardson79
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