Fernando M.

Lastrollo Jr
TIPS
COMPLICATIONS DIETS

Diarrhea DHN, meta acidosis AGN Low Na, low CHON

Leukemia Infection, bleeding Addison's High Na, Low K

Cushing's Low Na, High K

Addison's Shock
Pernicious anemia Vit B12, monthly
Cushing's Fluid overload injection
(anasarca)
Sickle cell anemia High fluids
Sickle cell anemia MI, CVD
Angina Low cholesterol
Valvular disease CHF
Gouty arthritis Purine restrictions
Cystic Fibrosis Permanent sterility
ADHD, bipolar Finger foods
Gonorrhea Pelvic Inflammatory
Disease Burns High CHON, high Cal,
high Vit
Herpes and HPV Cervix Cancer
Bed sores High CHON, high vit
Kissing's disease Spleenic rupture
DM Well balanced
Meningitis Auditory damage Dumping syndrome Low CHO, dry diet,
high CHON
Pancreatitis Beta cells destruction
Hepatic Low Chon
Phenylketonuria and Mental retardation encephalopathy
Cretinism
Hepatitis High CHON
Polycythemia vera MI, CVD
Liver cirrhosis Low chon
PIH and Abruptio placenta
Preeclampsia Hyperthyroidism High cal, low residue

Vomiting Meta alkalosis Hypothyroidism Low Cal, low

Cholesterol
Hyperparathyroidis Low Ca
m
Hypoparathyroidism High Ca

Meniere's Dse Low Na

Cholecystitis Low fat

Pancreatitis Low fat

Phenylketonuria Low phenylalanine

PIH High CHON

Renal Failure Low CHON, Na, K

Tonsilitis Soft diet

Fernando M. Lastrollo Jr
TIPS
BEDSIDE POSITIONING

Amputation Tourniquet AAA High fowlers

Autonomic Catheter Air embolism Trendelenburg,

dysreflexia slightly left
CTT Clamp, bottle, Appendicitis, Position of comfort
vasgauze unruptured
CVA Suction Appendicitis, High fowlers
ruptured
Parkinson's Suction
Asthma Orthopneic
Myasthenia Gravis ET, tracheostomy
Cardiac Affected extremity
Epiglotitis and ET, tracheostomy catheterization extended
Croup
Casting Elevate extremity
Thyroidectomy Tracheostomy, Ca
Cleft lip Opposite side or
DVT and Ascites Tape measure supine

Radium implant Lead container, Cleft palate Prone

forceps
CHF High fowlers
Sengstaken- Scissors
blakemore CVA Elevated OB or side-
lying
Tonsilectomy Flashlight
Dumping Syndrome Supine after meals
Tracheostomy tube Obturator and
Hemostat GERD Upright position

Epistaxis Leaning forward

Flail chest Affected side on bed

Hemmoroidectomy Side-lying

Hip replacement Abduction of legs

Laminectomy, slip Keep as straight as

disk possible
Liver biopsy Left during, right after

Lobectomy Unaffected side down

Pneumonectomy Affected side down

Lumbar puncture Knee chest, flat on be

dafter
Mastectomy Elevate affected
extremity
Fernando M. Lastrollo Jr
TIPS
POSITIONING LABORATORY DATA

Placenta previa Bed rest DM Hyperglycemia

bleed
Hemophillia Prolonged bleeding
Postural drainage Segment to drain time
upwards
Hepatic High BUN
Prolapsed cord Knee chest encephalopathy

Pulmonary edema High fowlers Hyperthyroidism High T3, T4

Pyloric stenosis Right side-lying Hypothyroidism Low T3, T4

Hypoparathyroidism Low Ca
Seizure Side-lying, prone
Hyperparahyroidism High Ca
Shock Trendelenburg
Liver cirrhosis High SGPT, SGOT
Thrombophlebitis Elevate extemity
Multiple myeloma Low WBC, RBC,
Varicose veins Elevate extemity Platelet, High Ca

Thyroidectomy No flexion or MI High Troponin, CK,

hyperextension LDH, SGOT

Tracheoesophageal Upright Pancreatitis Hyperglycemia, high

fistula amylase
Polycythemia vera High RBC
LABORATORY DATA Renal failure High BUN,
AGN High ASO titer, BUN, Creatinine, Na, K, low
creatinine Ca

Leukemia High WBC, low RBC Rheumatic Heart High ASO titer
and Platelet Dse

Addison's Low Na, glucose, Meta acidosis Low pH, low

high K bicarbonate

Cushing's High Na, glucose, low Meta alkalosis High pH, high
K bicarbonate

HIV (+) Elisa and western Resp acidosis Low pH, high CO2
blot Resp alkalosis High pH, low CO2
Gouty arthritis High uric acid

Rheumatoid arthritis High RF and ANA,

high ESR
Prostate cancer High PSA

Colorectal cancer High CEA

Cystic fibrosis High NaCl on sweat

Fernando M. Lastrollo Jr
TIPS
HISTORY INITIAL MANIFESTATION

AAA Hypertension Laryngeal cancer Hoarseness

AGN Sorethroat Cataract Blurred vision, glare

AIDS HIV Multiple sexual CHF Dyspnea or edema
partners
Breast cancer 1st child after 35 Congenital hip Affected leg shorter
dislocation
Cervical cancer Herpes or HPV
Cystitis Burning upon
urination
Laryngeal cancer Smoking, teacher
DM Polyuria, polydpsia
Cystic fibrosis / Meconium ileus
hirchsprung's GBS Clumsiness
Cholecystitis Intolerance to fatty
MS Diplopia
foods
Liver cirrhosis and Alcoholism MG Muscle weakness
Pancreatitis
Liver Failure Personality change
PID STD
GERD Heartburn after eating
RHD Sore throat
Hypocalcemia Tingling and muscle
twitch
INITIAL MANIFESTATION
Hypokalemia Parasthesia
AGN Edema, tea colored
urine Hypoxia Restlessness

Alzeimer's Memory loss, High ICP Wide pulse pressure

forgetfullness
Meniere's Vertigo
Anemia Fatigue
Parkinson's Pill rolling
Sickle cell Growth retardation
Retinal detachment Visual floaters
Angina Chest pain
Tardive dyskinesia Lip smacking
Arthritis Morning stiffness

BPH Low force and flow of

urine
Bladder cancer Painless hematuria

Breast cancer Lump or mass

Cervical cancer Painless vaginas

bleeding
Esophageal cancer Dysphaia