Femoral neck fracture in total hip arthroplasty Nursing


Bedridden inconvenience. 2.4 preoperative preparation because the elderly is often associated with varying degrees of chronic organic disease such as diabetes,abercrombie paris, coronary heart disease, emphysema, etc., so patients should be fully well before the examination, assessment of the safety of operation, reduce the risk of surgery. Preoperative film should include bilateral hip joint, including the pelvis and hip joints as lateral as to observe the contrast of bilateral hip joints, according to the imaging data to choose the right prosthesis. According to the patient's specific situation, give symptomatic and supportive treatment, nutrition, preoperative 24h a 48h 11 No. 1O quiet period Vo1.11No. 10 years of Traditional Chinese Medicine Herald GuidingJournalofTCM2005 1O months October. 2o05 drops of broad-spectrum antibiotics to prevent postoperative infection. 3 post-operative care 3.1 observing closely monitor changes in vital signs, to encourage patients to take a deep breath, coughing,canada goose, avoid hypostatic pneumonia. Stable condition, to encourage patients to start doing leg, toe and ankle in independent activities, and promoting the return of lower extremity blood, blood retention and prevention of lower limb deep vein thrombosis, eliminate lower extremity edema,mbt schuhe, reduce pain. Keep the skin clean, dry, flat beds, with air cushion bed or Millet, timing stand back, to protect bony prominences and long-pressure areas, to prevent bedsores from occurring. Close observation of limb peripheral blood flow, and dorsalis pedis artery pulse feel without exception. 3.2 1:2 care surgical dressings to keep the incision clean and dry,ralph lauren online shop, the wound can not wrap too tight. Close attention to whether the bleeding wound dressings, exudate, with or without incision redness, swelling, heat, pain, increased local tension without exception, negative pressure drainage device is smooth, the drainage of fluid color and drainage, 24h drainage less in 50ml, the drainage tube can be removed, the general drainage tube indwelling 2 days to 3 days. 3.3 to maintain limb posture nursing hip in neutral position, it is desirable light outside the booth (2O. ~ 3O.), Sandwiched between the lower limbs, a soft pillow to avoid ipsilateral hip flexion, adduction and internal rotation, to prevent prosthesis dislocation. 3.4 Postoperative pain care available patient-controlled analgesia pump anesthesia (PCA) and pain relief, many placed by the anesthesiologists, Zhu Huanzhe the proper use of pain pumps and their families, to prevent the pain pump off. Disappear once the anesthesia, surgical site that is pain. Within 48h after intramuscular injection of meperidine 50mg ~ 100mg or morphine 8mg ~ 10mg, if necessary, 4h ~ 6h can be repeated one time, severe pain associated with anxiety, insomnia, coffee mixture can be injected degrees. After 3 days were still more severe pain, pay attention to posture transformation and adjustment of traction, to observe whether the infection, lower limb edema, with or without sensory abnormalities and arterial pulse, etc., to keep abreast of the dorsalis pedis artery pulse to observe the peripheral blood. Families should be more communication with the medical staff and patients, to spread the attention of pain patients, encourage patients to minimize the use of painkillers. 3.5 Rehabilitation and nursing rehabilitation are designed to guide patients on how to start in the early postoperative function of the system and moderate exercise and rehabilitation, the patient a speedy recovery. Because of the artificial prosthesis has a psychological and physiological adaptation, total hip replacement surgery rehabilitation and nursing care appropriate is also a long and gradual process that requires perseverance and patience enough, should patients and their families to explain the postoperative functional exercise and the importance of rehabilitation, patients strive to dispel the ideological concerns, and actively cooperate with rehabilitation. Postoperative functional exercise can promote blood circulation, eliminate swelling and pain, to prevent deep vein thrombosis, prevention of muscle atrophy, osteoporosis, reduce disability, in order to facilitate a speedy recovery. After 2 days,moncler jacken, can be affected leg, ankle and toe joints of moderate self-activity, 3 days after starting to practice gluteus, quadriceps, calf muscle contractile activity, the risk of side of the hip, knee passive activities. 2 weeks after surgery to strengthen the lower limb is not weight-bearing activities of the initiative, and gradually increase the range of motion, increase muscle strength, enhance self-activity, but we need to protect. After 4 weeks after surgery, weight-bearing limb gradually recovered the ability, appropriate frame Shui walk until three months later, and gradually adapt to abandon walking stick. Rehabilitation process, we must pay attention to protect the hips, to avoid excessive ipsilateral hip adduction, internal rotation, extreme flexion to prevent prosthesis dislocation. Zhu Huanzhe in everyday life to learn self-protection, over-activity can not be hip, such as excessive squatting cross-legged, kicking and so on. In short, heavy neck trauma fracture, total hip replacement line therapy, reliable, functional rehabilitation after a long time, if the operation time, care and positive, appropriate, adhere to the system rehabilitation, ipsilateral hip joint function recovery is quite good .