膝关节置换英语查房

Discharged course
Patients after 14 days , the incision is healing well , the film display after prosthesis good location , good postoperative recovery and was discharged on December 24, 2012 .
Nursing diagnosis
Anxiety ( fear of surgery prognosis ) Pain ( incision ) The body moving obstacles ( pain ) The risk of lack of body fluids ( incision drainage tube ) Potential complications : deep venous thrombosis ( bedridden , swelling ) Potential complications : infection ( surgery , age , immunocompromised)
interventions
Preoperative care
Postoperative care
interventions
一） Preoperative care ：
1、Psychological care 2、Routine preparation Limit alcohol to stop smoking Improve the preoperative examination and physical assessment Skin preparation , preparation of blood , skin test Stop the use of anticoagulant drugs 3、Actively control blood sugar levels 4、Preoperative exercise The bed of urination training The guide of effective cough Quadriceps contraction and relaxation , and ankle flexion and extension
interventions
二） Postoperative care
1、Psychological care 2、postural care：Supine , head to one side after 6 hours , the limb 30 givers exhibition neutral position , the elevation of the limb soft pillow under the home . 3、Condition observation vital sign The wound bleeding Observation of the incision drainage (drainage, drainage, drainage tube patency color) 4、Prevention of complications Pressure sores : lying air bed , toilet care , turning frequently Deep vein thrombosis：early exercise, regular massage limbs to guide the movement of the quadriceps and ankle . Infection : prevention of colds, the use of antibiotics prescribed by a doctor
简要病史
Diagnosis：Right
knee osteoarthritis Complain ：The right knee joint swelling and pain for a month and a half, add half a month. General Information：Patients , Xiong Liane , , female , 58 years old, hospital number 1001938063 farmers, Wuhan, Hubei Province. Past History：Used to suffer from hepatitis b more than thirty years, found that diabetes half a year. Personal History ：Born and raised in Wuhan, high school culture, retirees, outgoing
Auxiliary Examination
X-ray
X tip: right knee osteoarthritis with massive bone hyperplasia
Surgery Course ：
After admission： after perfecting routine preparation and laboratory examinations , on December 7, 2012 in the nerve block anesthesia downstream right knee arthroplasty . 60% Postoperative return to the ward , give oxygen inhalation and ECG monitoring , the indwelling right knee incision drainage pipe a doctor's advice to Wing anti- inflammatory, Schieffer full anticoagulation therapy . Postoperative blood pressure was stable , the third day of extubation , review of X-ray : the right side of the total knee postoperative changes , good location , guidance underwent postoperative functional exercise after the seventh day, to help patients use walkers to get out of bed walk.
The patient asked the nurse
I have diabetes , and obesity, and how to prevent postoperative deep vein thrombosis ？
Prevention of deep vein thrombosis
The patient asked the nurse
Why do I have to do this surgery ?
Why do patients choose the artificial knee replacement surgery? ?
Joint structural change due to a variety of causes,it is not wise to simply use the medication because the drugs are only partially relieve pain symptoms, rather than alter the joint changes in the structure.However,artificial knee replacementcan be reached to relieve pain, correct deformities, improve joint function. Generally speaking,the life of the design of artificial joint is 50 years,the service life of 80% of them is up to 20 years.
1、Guidance in patients with eating digestible containing plant fiber rich foods , give laxatives when necessary to maintain smooth stool . Reduce the like , sugar intake to control obesity and blood sugar , to ensure that the amount of drinking water , the water can reduce blood viscosity , increase blood flow velocity . 2、Moderate functional exercises to develop a functional exercise table , based on the patient's situation . 3、Preoperative and postoperative use of anticoagulant therapy.
The patient asked the nurse
What is a knee replacement ?
What is a knee replacement ?
Total knee arthroplasty is an artificial joint replacement surgery , the articular surface of excised body can not repair itself , replace damaged joints with artificial joint parts , correction of limb lines of force , eliminating knee pain , maintain joint stability a treatment to restore knee function