Hip Replacement Article & Hip Surgery and DVT PPT Questions And Answers

Hip Replacement Article & Hip Surgery
and DVT PPT Questions And Answers
Abductortwedget-tCORRECTttANSWER--
Usedttotmaintaintpropertpositioningt(patientthastantordertfortit)
-
Whentpatienttistintbedttheytneedttothavetthetwedgetintplacetb/ctittseparatestthetlegstandtkeep
stthethiptintpropertalignment.
-
Cantbetsomewhattuncomfortabletb/ctthetpatienttcan'ttmove,tbuttittdoestkeeptthemtintproperta
lignment.

Anitcoagulationttherapyt-tCORRECTttANSWER--
AnticoagulationttherapytistthetprimetwayttotpreventtDVT
-SurgicaltpatientstaretatthightrisktfortDVT,tincludingthiptreplacementtpatients
-
Wantttotmaketsuretwetteachtabouttanticoagulationttherapytsotpatientstknowtwhattittdoestand
tsotwhenttheytaretdischargedttheytwilltknowtwhattprecautionsttottake;tSomeonetshouldtbetch

eckingtontthetpatient,tandttheytshouldtbetavoidingtactivitiestthattputtthemtattrisktfortbruisng,tbl
eeding,tfalling,tandtsharptobjects
-
DVTtistatpreventabletbuttoftentundertdiagnosedtconditiontsincet50%toftpatientsthavetnotsym
ptoms
-Anticoagulanttmedicationstcantbetmonitoredtbytlabttests
-
Heparin:tmonitoredtbytPTTt(attestttotseetiftbloodtistanticoagulatedtenough);tHeparinthastatve
rytnarrowttherapeutictrange;twantttotpreventtclotstbuttdotnottwanttpatientttothavetexcessivetb
leeding.
-Needttotchecktforttootmuchtbruisingtandtbleeding
-Lovenox:tmonitoredtbytAF-Xatlevel;tLovenoxtistsynthetictheparin;tsafertthantheparint
-
Coumadin:tmonitoredtbytPT/INR;tmosttcommontoraltanticoagulantt(Requirestfrequenttmoni
toring);tWanttpatientstontcoumadinttotavoidtgreentleafytveggies.tAlsotwanttthemttotusetantel
ectrictrazor,tatsoftttoothtbrush,ttotbetcarefultwhentcuttingtnails,tandtcooking.tWanttthemttotav
oidtsharptobjectstb/ctbleedingtcantgettouttoftcontrol

, -
Heparintandtlovenoxtaretcommontwhentpatienttistadmittedtb/cttheytaretgiventastatSubQtinjec
tion,tbutttheytaretdifficultttotsendtthemthometwithtb/ctinjections.tOncetatpatientthastbeentantic
oagulatedttotthetpointtthattthetphysiciantwants,ttheytwilltbetplacedtontantoraltanticoagulantt(c
oumadin)tthatttheytwilltbetdischargedton.
-
Elaquististatlottsafertandtdoesn'ttrequiretthetconstanttmonitoringtoftbloodt(liketcoumadintdoe
s)

Assistivetdevicest-tCORRECTttANSWER--
Assistivetdevicestaretreallytimportanttintthetrehabilitationtoftatpatienttwhothadtatfracturedthip.
-Assistivetdevicestaretprescribedtbytthetphysicalttherapist
-
Goodtuppertbodytstrengthtistnecessarytfortatwalker,tiftpatientthastonetsidetweakertthantthetot
hertatcanetistmoretappropriate.t
-Sometimestoccupationalttherapiststcantprescribetthem,tbuttusuallytPTtdoes

DeeptVeintThrombosist(DVT)t-tCORRECTttANSWER--
Bloodtflowstslowlytintthetveinstandthastatlongerttimettotclot.tIncidencetoftDVTtistverythightunle
sstprecautionstarettaken.
-
Onetoftthetproblemstwetseetsometimestintpatientstwhothadtbonetsurgerytortanytkindtoftsurge
rytthattrequirestthemttotbetimmobilizedtistDVTt(hugetcomplicationtoftanytjointtsurgerytb/ctofti
mmobility)
-
Patientstw/thiptsurgeryttendtnotttotbetastmobile/activetasttheytusedttotbetsottheytaretattrisktfort
DVT
-WantttottaketprecautionsttotpreventtDVT
-
DVTtoccurstwhentthetbloodtflowstslowlytintthetveinstandthastatlongerttimettotclot;tusuallytittistf
romtimmobilityt(b/ctactivitytandtmuscletcontractionthelpstmovetbloodtbackttotthethearttfromtt
hetextremities.tIfttheretistnotactivityt(andtnotpushttotkeeptthetbloodtmoving)titttendsttotpooltan
dtwhentittpoolstatclottcantform

DeeptVeintThrombosist(DVT)tRisktfactorst-tCORRECTttANSWER--Injury
-Surgeryt(injurytandtsurgerytaretrisktfactorstb/ctoftimmobility)
-
Historytoftthrombosistortvaricosetveinst(bloodtgetststucktandtveinstswell,tputstpatienttattmuc
hthighertrisktfortDVT)
-Decreasedtmusclettone
-Changestintactivity
Agetovert40
-Hormonettherapy
-Tumors
-Infection
-Pregnancy:tb/ctthetbabyttendsttotpresstdowntontthosetmajortarteriestintthetpelvis