Positioning Flashcards
(51 cards)
Why is collaboration with the surgical team important in patient positioning?
Collaboration ensures correct patient positioning, aligning with surgical needs for successful procedures.
What is the significance of maintaining proper body alignment during patient positioning?
Proper alignment helps maintain perfusion, protect pressure points, and prevent musculoskeletal issues.
Why aim for a natural position when positioning the patient?
A natural position supports physiological functions, reduces strain, and enhances comfort during anesthesia and surgery.
Why should joints generally be kept aligned during patient positioning?
Keeping joints aligned helps prevent strain, injury, and discomfort for the patient unless necessary for the surgical procedure.
How can pressure points be protected during patient positioning?
Pressure points can be padded to prevent injury and promote circulation.
Why is it important to understand the pathophysiologic changes that can occur due to positioning?
Understanding changes helps anticipate complications, optimize patient safety, and adjust positioning to prevent adverse effects.
What considerations should be made during the patient positioning process?
Consider positioning from head to toe, use appropriate devices, and assess the level of assistance needed for optimal patient placement.
How can safety measures be implemented during patient positioning?
Use safety belts/straps on the abdomen, pelvis, and extremities to secure the patient without causing nerve damage or injuries.
Why should belts/straps not be too tight during patient positioning?
Avoiding excessive tightness prevents nerve damage, circulatory compromise, and discomfort while securing the patient safely.
What is the significance of the supine position in anesthesia?
The supine position is commonly used for surgeries and has implications on various physiological parameters like venous return and cardiac output.
How should arm boards be secured in the supine position?
Arm boards should be properly secured to support the arms during procedures in the supine position.
What physiological impacts should be considered in the supine position?
Effects on venous return, cardiac output, and respiratory parameters must be understood for patient safety.
What defines arms abduction in patient positioning?
Arms positioned out to the side at less than 90 degrees with proper securing and padding to maintain alignment.
How should arms be orientated in arms abduction positioning?
Keep arms supine (palms up), secure with padding and Velcro strap at the axilla for stability.
What is the approach to arms adduction in patient positioning?
Arms are positioned alongside the body, secured with padding and positioning aid to maintain alignment.
How should elbows be managed during arms adduction positioning?
Ensure elbows are padded for comfort and consider tucking one arm if needed for surgical access.
What complications can arise in the supine position?
Complications in supine position include backache, pressure alopecia, brachial plexus or axillary nerve injury, ulnar nerve injury, and stretch injuries.
How can brachial plexus or axillary nerve injury occur in the supine position?
In the supine position, brachial plexus or axillary nerve injury can occur if the patient’s arms are abducted more than 90 degrees.
When can ulnar nerve injury occur in the supine position?
Ulnar nerve injury can occur in the supine position if the patient’s hand/arm is pronated (palm down).
What complications can arise in the Trendelenburg position?
Complications in the Trendelenburg position include backache, pressure alopecia, brachial plexus or axillary nerve injury, ulnar nerve injury, and stretch injuries, with the head of the patient tilted.
How can sliding cephalad be prevented in the Trendelenburg position?
To prevent sliding cephalad in the Trendelenburg position, use a non-sliding mattress/pad and avoid bean bags or shoulder braces.
What is recommended to detect sliding in the Trendelenburg position?
To easily detect sliding in the Trendelenburg position, consider marking the level of the patient’s head on the sheet or pad.
What are the pathophysiologic considerations in the Trendelenburg position?
Pathophysiologic considerations include effects on cardiac output (CO), venous return, intracranial pressure (ICP) and intraocular pressure (IOP), edema, intraabdominal pressure, FRC, pulmonary compliance, and diaphragmatic shifts.
What complications can arise in the Reverse Trendelenburg position?
Complications in the Reverse Trendelenburg position include backache, pressure alopecia, brachial plexus or axillary nerve injury, ulnar nerve injury, and stretch injuries, with the head of the patient tilted.
