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21 Cards in this Set

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Arthroplasty is what?
the reconstruction or replacement of a joint
What are 3 reasons for one?
-relieves pain
-improves/maintains ROM
-corrects deformities
What are 3 types of arthroplasty?
-Hemiarthroplasty
-total replacement
-reshaping of the bones of the joints
Replacement can happen where?
-elbow
-shoulder
-finger joint
-hip
-knee
-ankle
-foot
THA (total hip) allows for what?
Provides pain relief and improved function for Pt's with R/OA
The implant can be either cementless or cemented what's the difference?
-cementless- lasts longer, allows ingrowth of bony tissue
-cemented is usually used for elderly Pt's
Avoid Post Op care THA
-extreme internal rotation
-adduction
-90 degree or more flexion
for 4-6 wks
Other Post Op care THA
-use abduction pillow
-hips higher than knees
-knees kept apart
-never cross legs
-use trochanter roll to prevent external rotation
-keep pillows between legs when turning
-ambulate as prescribed
-elevate, extend and support
RN care for Post Op THA
monitor for
-infection
-circulation
-site
-drainage (JP)
-CBC
-keep embolic stocking in place
-have Pt flex and extend feet/ankels (prevent clots)
what other 2 things may happen with a THA Pt?
-prophylactic antibiotic
-turn cough deep breath
antibiotic will be on board how long after Pt arrives?
1 hr.
if a Pt doesn't do Continouse Passive Motion, how long will it take the leg to "freeze up"?
24 hrs.
What is given before CPM?
meds
T/F
dangle the leg first to get blood flow to the foot before starting
false, never dangle
T/F
never place a pillow under the knee
true
T/F
avoid weight bearing exercise to prevent reinjury
true
T/F
keep knee free and mobile to prevent scar tissue
false keep knee immobile to allow it to heal
What can be used to help decrease the swelling?
cold therapy
what neuro checks do we assess every 2 hrs?
-pulses
-cap refill
-color and temp of extremity
-sensation
-inability to felx or move toes
-numbness or tingling
-pain
-edema
protecting skin integrity involves what?
-inspection
-poisiton Pt appropriately
-Pt should shift wt
-avoid skin trauma
-avoid shearing forces
-keep skin clean, dry
-remove elastic stockings BID or MD order
PT may be D/C'd on what, and for how long?
anticoagulants
for 6 wks