Med-Surg questions

Nursing Students Student Assist

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1. Positioning, positioning, positioning. :uhoh3:Any easy to remember memory joggers for a respiratory pt. with a certain disease process and the best position? (Other than the obvious of sitting the patient up?)

Like I get confused whether or not with Pneumonia you put the affected side up but a lobectomy you don't but with a pneumothorax it's something different, and a pleural effusion something different... Are there any rule of thumbs with positions?

2. Which lumen in a picc line is for meds?

Thanks

Specializes in med/surg, telemetry, IV therapy, mgmt.
Which lumen in a PICC line is for meds?
It is most prudent to leave the largest lumen free for blood draws, blood transfusions or for other emergencies when rapid bolusing of fluids is needed. So, medications should be given through the smallest lumen.

Thanks Daytonite! As for the positioning it seems the rule of thumb is "Affected side up" but I just wanted to also know the instances when this wasn't the case.

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