hip fracture - immediate post operative management

Question 1

1.

Answer 1

monitor vital signs including pulse rate, blood pressure , respiratory rate and SpO2 hourly

Question 2

rationale : monitor vital signs including pulse rate, blood pressure , respiratory rate and SpO2 hourly

Answer 2

to establish baseline data post-op and monitor for tachycardia and hypotension which may indicate bleeding

Question 3

2,

Answer 3

monitor patient’s wound dressing and drainage hourly

Question 4

rationale: monitor patient’s wound dressing and drainage hourly

Answer 4

To monitor for excessive bleeding at the operative site

Question 5

3.

Answer 5

Apply a leg abduction pillow, keep the affected leg straight and do not cross the leg

Question 6

Rationale: Apply a leg abduction pillow, keep the affected leg straight and do not cross the leg

Answer 6

To prevent hip dislocation from the joint

Question 7

4.

Answer 7

Administer analgesia medications as ordered :

• paracetamol
• pethidine

Question 8

Rationale :
Administer analgesia medications as ordered :

• paracetamol
• pethidine

Answer 8

Inhibits the synthesis of prostaglandin in CNS , with subsequent blockage of pain impulses

Binds to the opioid receptor sites (mu and kappa receptor sites) and alters the release of neurotransmitters. This alters the perception and tolerance of pain

Question 9

5.

Answer 9

Perform neurovascular checks (5PS- pain, paralysis , pale, paresthesia, pulse)

Question 10

rationale: Perform neurovascular checks (5PS- pain, paralysis , pale, paresthesia, pulse)

Answer 10

to assess nerve damage and whether there is sufficient blood supply

Question 11

6.

Answer 11

Apply anti-embolism stockings/ calf compressor as ordered

Question 12

Rationale: Apply anti-embolism stockings/ calf compressor as ordered

Answer 12

To prevent statis and blood clot to promote venous return