case study 6 - Total Hip Replacement Flashcards
what type of joint is the hip joint
ball and socket
what is the hip joint comprised of
- femoral head
- acetabulum (socket)
what muscles surround the hip joint
- rectus femoris
- psoas major
- iliacus
- gluteus minimus
- quadratus femoris
what is osteoarthritis
joint disease where tissues in the joint break down
- articular cartilage breaks down, overtime causing friction
describe the structure of a joint
- cartilage
- synovial membrane
- fibrous capsule
- joint capsule containing synovial fluid
what are clinical presentations of oseoarthritis?
- swelling around joint
- pain around joint
- stiffness
- inflammation
- restricted ROM
- ## crepitation sounds
what are the different hip surgeries/incisions
- anterolateral
- posteralateral
name for low blood pressure
hypotension
what is the normal degree of hip flexion
80-140
what is the normal degree of hip extension
5-40
what are the precautions of THR
- don’t go past 90 degree hip flexion due to risk of dislocation
- pain
- wound infection
- limited weight bearing
what is capillary refill time?
assesses peripheral perfusion quickly, must last less then 2 seconds
if capillary refill time is more then 2 what does this mean
could be caused by
- dehydration
- shock
- hypothermia
what is oxycodone
- opioid painkiller.
- slow release tablets
why is it important to know he is taking oxycodone
- ## side effects could affect the treatment