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Positioning, prepping and draping
vocab
35
Medical
Undergraduate 1
02/24/2011

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Term
armboard
Definition
used to support the arm when giving intravenous infusions
Term
stirrups
Definition
raise and support the legs in lithotomy position
Term
pillows, doughnuts, headrests, wrist straps and sandbags
Definition
used for additional immobilization and support
Term
drawsheet
Definition
used as an arm restraint, and used to support and lift the body during transfer to a stretcher
Term
anesthesia screen
Definition
holds drapes off the patient's face, and separates nonsterile area from sterile field
Term
operating room table
Definition
used to achieve any desired position through manual or electrical controls; accepts attachments
Term
padded body and kidney rest
Definition
used to stabilize the body in lateral kidney positions
Term
supine
Definition
patient on back;used for abdominal and abdomino-thoracic procedures, as well as some lower extremity procedures
Term
prone
Definition
patient on stomach;used for procedures on the posterior surface of the body
Term
lateral
Definition
patient on side
Term
sitting
Definition
used for neurosurgical and some otorhinology procedures
Term
lateral kidney
Definition
used for thoracic procedures when a lateral approach is desired by surgeon
Term
kraske
Definition
used for rectal procedure
Term
trendelenburg
Definition
used for lower abdominal and pelvic procedures when surgeon wants abdominal contents to be separated from pelvic contents
Term
lithotomy
Definition
used for vaginal, perineal, and rectal procedures
Term
qualities of good positioning
Definition
does not interfere with circulation/reservation, does not put any pressure on any nerves/veins or bony prominence, allows maximum safety/comfort for the patient
Term
surgeon
Definition
the_____decides on the position to be used
Term
circulator
Definition
the ______is primarily responsible for positioning the patient
Term
blood vessels
Definition
pillows and other padding are used in strategic places to prevent pressure on nerves and ________
Term
slowly
Definition
patients who are already anesthetized must be positioned _______
Term
circulation
Definition
the patient's legs must not be crossed since it would impair_________
Term
within
Definition
movement of joints must be gentle and _______their limited range of motion to avoid damage and pain
Term
chest
Definition
excessive pressure on the ________must be avoided to prevent respiratory impairments such as hypoxia
Term
after
Definition
extreme or embarassing positioning should be done ______the patient is anesthetized
Term
within
Definition
movement of joints must be gentle and ______their limited range of motion to avoid damage and pain
Term
90 degrees
Definition
avoid hyperextension of the arm-no more than _________
Term
brachial
Definition
extreme positions of the head and arm can cause injury to the _________plexus
Term
elbow
Definition
radial, median, or ulnar nerve damage can occur if extreme care is not used in supporting the ________region
Term
peroneal foot drop
Definition
stirrups that are inadequately padded or improperly placed can cause pressure on the _________ nerve, which can produce _________if the damage is severe
Term
proceed from clean to dirty
Definition
a basic rule of prepping is
Term
5 mins
Definition
the skin prep should be carried on for at least - ortho and cardio will be longer
Term
hexachlorophene
Definition
develops cumulative action after a period of frequent use; therefore, is only used on patients who have washed exclusively for several days with this product, is neutralized by alcohol
Term
alcohol
Definition
flammable; therefore they must be used in small quantities and must not be allowed to pool around or under patients, especially when lasers or electrosurgical units are used
Term
to create a and maintain a sterile field by covering patient
Definition
the purpose of draping is
Term
3 types of draping materials
Definition
plastic w/adhesive backing, non-woven disposable paper, woven reusable cloth
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