Care of the Recumbent Patient

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  1. What do we need to monitor and watch for with a recumbent patient?
    • monitor breathing and temperature
    • watch for vomiting, aspiration
  2. Should we use heating pads under a recumbent patient?
    no because it can easily cause thermal burns due to the patient not being able to move
  3. How often should we turn a patient who is in a recumbent position for a short period of time?  Why do we turn them?
    • turn every 10 - 15 minutes
    • to prevent hypostatic congestion, atelectasis
  4. Why do we turn a patient feet under instead of feet over?
    to prevent gastric torsion
  5. What would cause a patient to be recumbent for a long period of time?
    • ill
    • injured
    • debilitated
    • paralysis
  6. Besides treatment of original condition, we need to prevent new problems due to lack of ability to move.  What new problems could occur?
    decubital ulcers, bladder, and bowel problems
  7. How do we keep a recumbent patient clean?  Why do we need to keep them clean?
    • bathe frequently, dry completely
    • if patient has urinary or fecal incontinence, clip or shave perineal area
    • helps prevent decubital ulcers and skin infections
  8. What are decubital ulcers?
    pressure sores, bed sores
  9. Where and how do decubital ulcers develop?
    develop over bony prominences due to continuous pressure and local ischemia - lack of blood flow
  10. Which areas of the body are most likely affected by decubital ulcers?
    • sternum
    • shoulders
    • lateral sides of 5th digits
    • stifles
    • hips
    • elbows
  11. How quickly can decubital ulcers develop?
    within 2 or 3 days
  12. How can we manage small decubital ulcers?
    • donut bandages
    • topical antibiotics - water based cream not oil based oinment which can harbor bacteria
  13. How can we manage deep, serious decubital ulcers?
    • surgery
    • debride, may place drains, closure
  14. How can we prevent decubital ulcers?
    • turning
    • padding
    • bladder and bowel maintenance
  15. How frequently should we turn a long term recumbent patient?
    every 2 - 4 hours
  16. What kind of padding can we use for long term recumbent patients?
    • fleece pads
    • egg crate type foam
    • waterbeds
    • towels
    • blankets
    • diapers
    • can place absorbent items in plastic bags to use as padding
  17. How long can a urinary catheter be left in at a time?
    no more than 3 - 4 days - risk of infection
  18. What can using a urinary catheter help prevent?
    urine scalding
  19. How can we prevent urine scalding?
    • clip
    • keep clean and dry
    • apply desitin ointment or powder
Card Set:
Care of the Recumbent Patient
2012-12-09 00:11:46
Clinical Practice ll

Clinical Practice ll
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