Question

2. A patient recovering from a myocardial infarction has comorbidities of diabetes and peripheral vascular disease. What precautions should be taken to prevent pressure ulcers while the patient is in bed because of restricted activity?

3. The patient is a 59-year-old male with right hemiplegia 1 day after surgery to remove a blood clot. He presents with mild spasticity in both right extremities, minimal active movement of the right extremities, and expressive aphasia.

Answer 1

2 . The patient recovering from myocardial infraction on bed rest with comorbidities of diabetes and peripheral vascular disease is at risk of developing pressure ulcers. Precautions that can be taken are-----

• Change the position of patient every 2 hours.
• Reposition as per orders to comfortable position.
• Place air filled or water filled ballons at pressure points.
• Do not drag the patient while shifting, instead lift using the sheets underneath.
• Use air filled mattress which relieves the pressure on skin.
• Provide proper nutrition .
• Give fluids as per orders.
• Keep the skin clean and dry.
• Moisturise the skin after bed bath.
• Use adult diapers if there is no urinary cathether.
• Maintain blood glucose levels . Administer insulin or oral hypoglycemics as prescribed.
• Advice physiotherapy.

Thank you.