Question

1. Discuss interventions for the client who has had hip replacement surgery.

2. Discuss the signs and symptoms of common connective tissue injuries.

Please cite the references. Thanks

Answer 1

1. Discuss intervention for the client who has had hip replacement surgery.

It is very essential that the nurse is alert that difficulties strength to damage the client when left ignored and no prompt treatment is approved out on time. Possible difficulties with this method should be made known particularly to the nurse. Nursing care plans should be alert on preventing the incidence of the following impediments:

1. Dislocation of the hip prosthesis

2. Excessive wound drainage

3. Thromboembolism

4. Infection

Dislocation of the hip prosthesis

1. An abduction splint or pillows should be kept among the legs
2. The patient is a confidante to keep the effective hip in addition
3. The patient is teaching to pivot in the unoperated leg as supported by the nurse, who shields the functioning leg from adduction, flexion, and extreme weight-bearing.
4. A semi-reclining wheelchair and restroom seat extenders could be used to reduce hip combined flexion.

EXCESSIVE WOUND DRAINAGE

i. To exhaust the collecting blood and liquid at the surgical site, a moveable suction machine must be used. The buildup of fluid can contribute to patient uneasiness and could give a site for the disease.

ii. When drainage amounts are greater than predicted, the nurse should notify the physician instantly. Expected drainage is 200 to 500 ml in the first 24

iii. hours and by 48 hours postoperatively the total predictable drainage in 8 hours frequently decreases to 30 ml or less.

iv. To reduce the homologous blood transfusions, and autotransfusion drainage system may be used. This is used when extensive blood loss is anticipated following total hip alternate surgery.

Thromboembolism

i. Blood-thinning managers might manage to the client as agreed by the surgeon. As prophylaxis for DVT following total hip substitute surgery, low-dose heparin or enoxaparin (Lovenox) may be used. Lovenox is low-molecular-weight heparin that needs no regular watching of coagulation times.

ii. Enlistment with ion restrictions and in proper flexion is given confidence.

Infection

i. The deep infection could need to take away of the insert.

ii. Recognize patients who are at high danger for infection such as those who contain diabetes, elderly, obese, and poorly nourished.

iii. Keep away from the possible sources of infection.

iv. Do admin prophylactic antibiotics.

v. Eliminate indwelling urinary catheters and moveable injury suction as early as possible to prevent infection.

2. Symptoms of both diseases can include:

a) Muscle weakness.

b) low energy.

c) obscurity swallowing.

d) dumpiness of breath.

e) Fever.

f) Weight loss.