Arthroplasty

Front 1

reconstruction or replacement of joint

Back 1

arthroplasty

Front 2

main goals of arthroplasty

Back 2

relieves pain
improves/maintains ROM
corrects deformities

Front 3

types of arthroplasties

Back 3

hemiarthroplasty
surgical reshaping
total joint replacement

Front 4

replacement of part of a joint

Back 4

hemiarthroplasty

Front 5

total replacement of a joint is available for

Back 5

elbow, shoulder, phalangeal jounts of fingers, wrist, hip, knee, ankle and foot

Front 6

arthroplasty is commonly used on patients with

Back 6

OA, RA, avascular necrosis and congential deformities

Front 7

THA

Back 7

total hip arthroplasty

Front 8

THA

Back 8

a surgical procedure in which the ball and socket components are replaced with prosthetic devices

Front 9

THA provides pain relief and improves function for patients with

Back 9

OA and RA

Front 10

In THA in elderly implants are

Back 10

cemented in place

Front 11

implants for younger patients with RA are

Back 11

cementless

Front 12

cementless implants

Back 12

have a longer life bc the prosthesis is designed to facilitate the ingrowth of bony tissue into it

Front 13

cementless does not allow for

Back 13

much weight bearing post op but it lasts longer than the cement implant

Front 14

post-op patient must take ___ precautions

Back 14

hip

Front 15

patient must avoid

Back 15

internal rotation, adduction and 90 degree or more flexion of the hip joint for 4-6 weeks

Front 16

use _______ to keep the legs abducted

Back 16

abduction pillow

Front 17

_____ must not be lower than the knees while in sitting position

Back 17

hips

Front 18

_____ should be kept apart

Back 18

knees

Front 19

never ____ legs

Back 19

cross

Front 20

use a ________ to prevent external rotation

Back 20

trochanter roll

Front 21

keep __________ legs while turning

Back 21

pillow between

Front 22

after joint replacement patient must ambulate

Back 22

as prescribed

Front 23

Patients should not take ______ or _______ for 4-6 weeks

Back 23

tub baths

drive a car

Front 24

when out of bed operative leg must be

Back 24

elevated, extended and supported

Front 25

_____ to prevent skin breakdown

Back 25

turn

Front 26

monitor post-op patient for

Back 26

infection

Front 27

monitor extremity for

Back 27

circulation and sensation

Front 28

monitor surgical site

Back 28

if possible

Front 29

turn, cough, deep breathe

Back 29

use incentive spirometer

Front 30

monitor drainage

Back 30

drainage should gradually decrease. patients may need transfusion

Front 31

keep anti-embolic stockings in place to prevent

Back 31

dvt's

Front 32

instruct client to flex and extend feet to prevent

Back 32

clots

Front 33

slight fever is expected. report fever of

Back 33

101 or greater

Front 34

being continuous passive motion ________ after surgery

Back 34

24-48 hrs

Front 35

CPM must be done within 24 hrs of surgery to prevent

Back 35

knees freezing up

Front 36

do not allow leg to dangle because

Back 36

it can dislocate

Front 37

do not place pillow under leg

Back 37

it can cause contractures

Front 38

patient must not bear

Back 38

weight

Front 39

immobilize knee when pt

Back 39

gets out of bed

Front 40

use ice packs and cooling machine for

Back 40

swelling

Front 41

the goal is for the patient to be walking with an assistive device by

Back 41

discharge

Front 42

neurovascular check every

Back 42

2 hrs

Front 43

neurovascular checks include

Back 43

pulses
cap refill
color and temp
sensation
inability to flex or move fingers/toes
numbness and tingling
pain
edema

Front 44

skin integrity considerations

Back 44

inspect skin regularly
position client appropriately
instruct client to shift weight often
avoid skin trauma when shifting weight
avoid shearing when in semi fowlers
keep skin clean and dry
remove elastic stockings twice daily

Front 45

Anticoagulants are administered to reduce risk of

Back 45

thrombus formation and pulm. embolism
(warfarin, lovenox and aspirin)

Front 46

coagulation studies are necessary with anticoagulants

Back 46

heparin-check ptt

coumadin- check pt/inr

Front 47

patient will usually go home on coumadin for up to

Back 47

6 weeks post op

Front 48

autotranfusion drainage system

Back 48

transfuses lost blood back into patient after being filtered

Front 49

prophylactic antibiotics are administered

Back 49

1 hour before cut time

Front 50

______ may be used to facilitate repositioning

Back 50

overhead trapeze

Front 51

___________ exercises should be avoided post op

Back 51

high impact