Joint Replacement Flashcards
Hip precautions after surgery:
sitting/standing
- do not sit or stand for long periods of time
- do not twist body while standing
Hip precautions after surgery:
crossing legs
do not cross legs beyond midline of body
**or cross at all to prevent blood clots
Hip precautions after surgery:
bending hips
do not bend more than 90 degrees
Hip precautions after surgery:
walking
use ambulatory aid when walking
Hip precautions after surgery:
dressing
use assistive/adaptive devices
Hip precautions after surgery:
sex
resume as usual when MD says it is okay
Hip precautions after surgery:
pain after surgery
report increased pain to surgeon
Hip precautions after surgery:
Rest periods?
Do not overexert–rest as needed
What do we inspect the incision for after surgery?
- redness
- heat
- drainage
How should the surgical site be cleaned?
mild soap and water daily
**dry thoroughly
What exercises should be performed after discharge to home?
- straight leg raises
- gluteal sets
- ankle pumps
- “ham” sets
What if a pt has acute chest pain/SOB after surgery?
call 911!!!
Bleeding precautions if on anticoagulant?
- avoid using straight razor
- avoid injury
- report bleeding/excessive bruising
T or F: low chairs are best after hip surgery?
F–avoid low chairs!!
Which should NOT be done:
ADDuction or ABduction?
Adduction should be avoided
What should be done with the toes?
DO NOT internally rotate
Should the pt turn on the operative side after hip replacement?
no!!!
What type of pillow can be used?
ABduction
What is the classic sign of a dislocation?
shortening of the affected leg
**along with inability to move, abnormal rotating, increased discomfort
What type of activities should be done after joint replacement?
low impact, low stress on joint (swimming/cycling)
What are the complications of joint replacement?
- infection!!!!
- peripheral neurovascular dysfunction
- pain
- blood clots/lack of activity
- inadequate nutrition
