positioning(exam)

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Author:
Anonymous
ID:
49337
Filename:
positioning(exam)
Updated:
2010-11-13 21:33:42
Tags:
positioning
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Description:
Positioning and draping
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  1. Lithotomy
    Dorsal Recumbant with knees flexed. pt on back with knees flexed, buttocks @ lower edge of table, arms placed @ side or on chest. feet placed in stirrups placed wide apart from exam table

    USE: pelvic exam, vaginal exam, and digital exam

    drape underarms, over breast to feet
  2. Trendelenburg
    pt supine. head is lower than legs. table raised at lower end to 30 degrees angle

    • USE: treatment of shock or hypotension (LBP)
    • drape underarms, over breast to the feet.

    Alternate form: pt @ an incline with feet elevated 45 degrees and head lowered
  3. Fowler's
    • Sitting or semi-sitting position semi-HOB elevated 45 degrees
    • High-HOB elevated 90 degrees
    • USE: SOB, dyspnea, head,neck and chest exam
    • drape according to exposure
  4. Sim's
    • Lateral position. pt placed on L side with a towel or pillow under L cheek.Body wgt on chest. R arm flexed- palms down. R leg flexed @ 90 degree angle with knee bent. L leg straight/slightly flexed (straightens out intestines)
    • USE: digital exams enemas, rectal temperature
    • use aperture drape or use 2 with separation @ rectal area
  5. prone
    • pt lays face down (ventral surface down), head turned to the side , no pillow
    • USE: exam the back & vertebral column (dorsal sufaces)
    • drape mid-back to below the knees
  6. Dorsal Recumbent
    • Patient on back, legs slightly flexed, arms @ side
    • USE: exam of breast and abdomen
    • full drape-under arms to feet or upper and lower drape with separation at mid-section
  7. Supine
    • Face-up- legs straight, arms @ side
    • USE: exam anterior surface of the body(ex. breast, abdomen, etc)
    • full drape

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