NCLEX Question about positioning

[mehlev]

Hi everyone! I'm studying for my NCLEX, and have some questions about areas I just can't seem to master.

#1 The degree of elevation with the head of bed. I want to be sure of positioning.

If you have a pt who has a drop in BP, you go to Trandelenburg?

Huge spike in BP? What happens to the BP, CO, etc when you lie the Pt flat vs. Semi Fowlers vs. High Fowlers? Thanks!

[euphoria02]

Hello there :)

Trendelenburg- is used for shock. This is to concentrate the remaining circulating blood to the core organs. There's this modified trendelenburg I have been reading ( feet elevated with head slightly elevated ) thats used for that purpose too. Trendelenburg is also used to relieve cord compression for patients who are on labor.

Flat- This is done after epidural anesthesia to minimize/prevent spinal headache. I think this is also for client post-laminectomy as the lumbar are cannot be bent nor twisted.

Semi-Fowlers - done during Pancreatitis. to decrease abdominal tension. and any other event where abdominal tension is not favorable. May also be used for clients at risk for/ experiencing increased ICP.

Fowlers- my be used for aspiration prevention, decrease ICP, lung expansion facilitation.

Hi Fowlers- for Autonomic dysreflexia, for aspiration prevention, lung expansion position.

For clients having THR- position of bed must not be >15 deg, or in some books I have read

That's what I remember. I'll add more once I recall. Hope this helps.

[mehlev]

Thank you! It does help.