Академический Документы
Профессиональный Документы
Культура Документы
undergoing orthopedic
surgery
Isaac Amankwaa
Introduction
Orthopedics
fracture
Deformity
joint
disease,
necrotic
tumors
or infected tissue,
motion.
Stabilizing fractured fragments.
Relieving pain.
Relieving disability or deformity.
reduction
Closed
reduction
Internal
Bone
fixation.
graft
of a joint.
replacement
excision of
damaged meniscus
(fibrocartilage) of the knee.
of a body part
DEFINITION
Total
arthroplasty.
INDICATIONS
Osteoarthritis
Traumatic
arthritis
avascular necrosis
Femoral neck fractures
Failure of previous reconstructive surgery
(failed prosthesis, osteotomy).
Bone tumors
Arthritis associated with Piagets diseases.
Certain hip fractures.
Ankylosing spondilytis
PRE-OPERATIVE
CARE
care
Teaching
care
care
Ensure that requested radiological examinations
such as X-rays has been carried out and report
filed
Prepare patients skin in accordance with hospital
policy
Review of all medications being taken by the
patients.
Anti-inflammatory medications including aspirin are
discontinued one week prior to surgery because of
the effect on platelet function and blood clotting.
Preoperative preparation
Physiological
preparation
Examine patients hip paying attention to
the range of motion in the joints and the
strength of the surrounding muscles. It is
done to know if patient is fit enough to
undergo the surgery.
Major dental procedures such as tooth
extractions and prior dental work should
be done before total hip replacement to
prevent hematogenous spread
Pre-operative preparation
Physiological
preparation
Preoperative preparation
Physiological
preparation
Pre-operative preparation
Physiological preparation
Check for any indications of infections, severe
heart and lung disease or active metabolic
disorders such as uncontrolled diabetes
Preoperative exercise program must be reinforced
to build muscle and increase flexibility.
Because it involves blood loss, patient planning to
undergo the surgery offer their own (autologous)
blood to be stored for transfusion during surgery,
minimizing risk related to blood transfusion.
Ensure that consent form is duly signed.
Pre-operative preparation
The
POST-OPERATIVE CARE
Reception
Nursing diagnosis
ordered.
Pain management
Assess
or staples will be
removed approximately 2 weeks
after surgery.
Avoid getting the wound wet
The wound should be bandaged
to prevent irritation from clothing
or support stockings.
Preventing Infection
Monitor
SIGNS OF DISLOCATION OF A
PROSTHESIS
Increased
Nutrition
Fatigue
Shortness of breath
Pallor
Tachycardia
Patient teaching
REHABILITATION
Initially,
CONT..
Specific
Potential Complications
Postoperative
Hypovolemic
shock
Atelectasis
Pneumonia
Urinary
retention
Infection
ThromboembolismDVT or PE
Constipation or fecal impaction
OSTEOGENESIS IMPERFECTA
Osteogenesis Imperfecta
Also
Etiology
Genetic
mutation
Pathophysiology
Can
fractures at birth
Bilaterally bulging skull
Triangular shaped head and face
Prominent eyes
Blue or gray tinted sclera
Pain and bone swelling
Loss of function
Thin, translucent skin
Teeth that breaks easily
problems
Delayed walking
Scoliosis as the child grows
Tinnitus
Hearing loss
Kidney stone
Urinary problems
Diagnostic investigations
Family
Nursing Interventions
Support
Nursing intervention
Encourage
Complications
Pressure
ulcer
Pneumonia
Constipation
Urinary stasis
Infection
Osteomyelitis
Osteomyelitis
Synonyms
Ostitis
Osteitis
Panostitis
osteomyeloperiostitis
Osteomyelitis Definition
Osteomyelitis
It
Bone
Pathophysiology
Causative
Pathophysiology
The
inflammation
This
Pathophysiology
This
The
Pathophysiology
New
Pathophysiology
Clinical Manifestations
Acute
osteomyelitis
touch
Clinical Manifestations
Chronic
osteomyelitis
Classification of osteomyelitis
Classification
according to location
Classification of osteomyelitis
Classification
of according to
onset/duration
Acute osteomyelitis
Acute haematogenous osteomyelitis
Acute post traumatic osteomyelitis
Chronic osteomyelitis
Sub-acute or primary chronic osteomyelitis
Differential diagnosis
Cellulitis
Acute
suppurative arthritis
Acute
rheumatism
Sickle
cell crisis
Treatment
Medical
Cold compression
Broad spectral antibiotics
Splinting of the affected limb
Analgesics
Treat underline cause. E.g. Sickle cell, DM or
HIV
Treatment
Surgical Management
Complications
Lethal
Metastatic
arthritis
bone growth
Pathologic
fracture
Prevention
Efforts