Periop 101 positioning Question with complete solution 2023

Periop 101 positioning Question with complete solution 2023What are the overall surgical goals of surgical positioning? SATA a. Ensure the patient is strapped in to prevent sliding. b. Provide access to monitoring devices and iv lines. c. Provide optimal exposure. d. Maintain a patient's airway. B,C,D Surgical position Physiological effect. Supine Increased Cardiac Output Surgical position Physiological effect. Trendelenburg Elevated BP Surgical position Physiological effect. Reverse Trendelenburg Decreased Cardiac Return Surgical position Physiological effect. Lithotomy Potential Femoral, obturator, and perineal nerve damage Surgical position Physiological effect. Sitting or semi sitting Hypotension r/t the position Surgical position Physiological effect. Prone Compression of the diaphram Surgical position Physiological effect. Lateral recumbent Pooling of blood in the dependent limb supine position, identify correct statements b.The patient lies flat on his or her back with arms extended at <90 degrees on padded arm boards. e. There is a decrease in diaphragmatic expansion. f. Use a heel-suspension device to redistribute heel pressure. Surgical position Physiological effect. Sitting / Semi-sitting Venous pooling in the lower extremities and hypotension r/t position and the affect of anesthesia. Surgical position Physiological effect. Trendelenburg Cyanosis and increased vascular load from the lower extremities to the heart and respiratory embarrassment due to decreased lung volume. Surgical position Physiological effect. Reverese Trendelenburg Decrease in brainstem perfusion and decrease cardiac out put. Prone position, identify correct statement a. Face positioner is used to place head in a neutral position. c. Ensure the breast, abdomen, and genitals are free from torsion or pressure. d. The patient is positioned after the administration of anesthesia. What position is used for most abdominal procedures and vascular surgery? Supine