Medical Emergencies · single question
A patient feels dizzy/light-headed (presyncope) after you treat her. What is the most appropriate position?
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Correct answer: D. Supine with the legs elevated (Trendelenburg)
- A. Standing/walking risks a fall and further drops cerebral blood flow.
- B. Prone positioning compromises the airway and does nothing to restore cerebral perfusion.
- C. Sitting upright keeps the brain above the heart and worsens cerebral hypoperfusion in a dizzy patient.
- D. Correct. Placing a fainting/pre-fainting patient supine with the FEET ELEVATED (Trendelenburg) increases venous return and cerebral perfusion — the cornerstone of syncope management. (Note: a pregnant patient should be placed in the LEFT lateral position to avoid vena cava compression.)
Note: Plain 'supine' is partially correct, but adding feet elevation (Trendelenburg) is what maximizes cerebral perfusion for presyncope/syncope, so it is the better answer.
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