Joint Replacement Flashcards

1
Q

Hip precautions after surgery:

sitting/standing

A
  • do not sit or stand for long periods of time

- do not twist body while standing

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2
Q

Hip precautions after surgery:

crossing legs

A

do not cross legs beyond midline of body

**or cross at all to prevent blood clots

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3
Q

Hip precautions after surgery:

bending hips

A

do not bend more than 90 degrees

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4
Q

Hip precautions after surgery:

walking

A

use ambulatory aid when walking

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5
Q

Hip precautions after surgery:

dressing

A

use assistive/adaptive devices

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6
Q

Hip precautions after surgery:

sex

A

resume as usual when MD says it is okay

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7
Q

Hip precautions after surgery:

pain after surgery

A

report increased pain to surgeon

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8
Q

Hip precautions after surgery:

Rest periods?

A

Do not overexert–rest as needed

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9
Q

What do we inspect the incision for after surgery?

A
  • redness
  • heat
  • drainage
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10
Q

How should the surgical site be cleaned?

A

mild soap and water daily

**dry thoroughly

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11
Q

What exercises should be performed after discharge to home?

A
  • straight leg raises
  • gluteal sets
  • ankle pumps
  • “ham” sets
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12
Q

What if a pt has acute chest pain/SOB after surgery?

A

call 911!!!

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13
Q

Bleeding precautions if on anticoagulant?

A
  • avoid using straight razor
  • avoid injury
  • report bleeding/excessive bruising
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14
Q

T or F: low chairs are best after hip surgery?

A

F–avoid low chairs!!

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15
Q

Which should NOT be done:

ADDuction or ABduction?

A

Adduction should be avoided

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16
Q

What should be done with the toes?

A

DO NOT internally rotate

17
Q

Should the pt turn on the operative side after hip replacement?

A

no!!!

18
Q

What type of pillow can be used?

A

ABduction

19
Q

What is the classic sign of a dislocation?

A

shortening of the affected leg

**along with inability to move, abnormal rotating, increased discomfort

20
Q

What type of activities should be done after joint replacement?

A

low impact, low stress on joint (swimming/cycling)

21
Q

What are the complications of joint replacement?

A
  • infection!!!!
  • peripheral neurovascular dysfunction
  • pain
  • blood clots/lack of activity
  • inadequate nutrition