Appendicitis ruptured SF; unruptured any position of comfort Asthma sitting & leaning forward Bone marrow biopsy P for iliac crest (adult) Bronchiolitis Tripod position Bronchoscopy SF (post) Cast elevate extremity Cataract unoperative side CHF HF Cleft lip (post op) S Cleft palate P Colostomy care - sitting COPD - orthopneic Dumping syndrome S pc Enema left lateral sims Epiglottis Tripod Epistaxis leaning forward Hemorrhoidectomy SL IICP head in neutral, midline and elevated 30-45 degrees Laryngectomy SF Liver biopsy (post op) RSL Lumbar Puncture Fetal position/ C- position/ Shrimp. Mastectomy (post op) affected extremity elevated
Legend DR Dorsal recumbent; P Prone; S Supine; LSL-Left side-lying; RSL Right side-lying; SL- Side lying; F- Fowlers; HF- High Fowlers; SF- semi- Fowlers; T-berg - Trendelenberg
NGT F (insertion); SF (feeding) Oral care (unconscious) - SL Oxygen therapy SF/ HF Paracentesis - SF Placenta previa sitting Postural drainage Lung segment at uppermost position for draining Prolapsed cord knee chest/ T-berg Pulmonary edema F Retinal detachment lie on affected side Seizure side lying Shock modified T-berg Suctioning F (intact gag refex); SL (unconscious) Thoracentesis - sitting upright, arms on a table. If cannot sit up, unaffected side. Thrombophlebitis elevate affected leg Thyroidectomy SF, avoid moving the neck Tonsillectomy SL/ P TPN insertion T-berg
Acne well-balanced for adolescents; fat for adults AGE clear liquid AGN Na, CHON Addison - Na, K Anemia, pernicious - Vit. B12 Anemia, sickle cell - fluids Angina pectoris - cholesterol Arthritis, gout restrict purine ADHD finger foods such as cheeseburger Bipolar finger foods Burn - CHO, CHON, Vit. C Celiac gluten free (B-R-O-W) Cholecystitis - CHON, CHO, Fats CHF - Na, Cholesterol Cushing - K, Na Decubitus ulcer - CHON, Vit. C DM well balanced diet Diverticulitis - residue Diverticulosis - residue Hepatic encephalopathy - CHON HPN - DASH (Dietary Approaches to Stop HPN) Na (2-3 g/day), Fat Hyperthyroidism - CHO, CHON Hypothyroidism - CHO, fat Kawasaki clear liquid
Positioning
Diet
Q&A Positioning Dolor: Sit Amet Appendicitis ruptured SF, unruptured; unruptured any position Asthma sitting & leaning forward Bronchoscopy SF after Bronchiolitis Tripod position Oxygen therapy SF/ HF Cast extremity elevated Cataract unoperative side Cleft lip (post op) S Cleft palate P CHF HF Dumping syndrome S pc Epiglottis Tripod Epistaxis leaning forward Hemorrhoidectomy SL IICP head in neutral, midline and elevated 30-45 degrees Laryngectomy SF Liver biopsy (post op) RSL Lumbar Puncture - Lateral with knees drawn up to the abdomen and the chin onto the chest/ C-position/ Shrimp. Placenta previa sitting Postural drainage Lung segment should be at uppermost position for draining Prolapsed cord knee chest/ T-berg