Effect of Surgical Approach for Total Hip Replacement - Essay Example

The combination of drugs that were taken by Mrs. Stevens was methotrexate, sulphadiazine, and diclofenac sodium that led to the combination of misoprostol drugs.

How do they work?

These drugs narrowed the superior joint in the middle, boney erosions in periarticular tissues and edema, and juxta-particular.

Are there any special considerations or precautions needed when taking these medications?

The patient requires special considerations because, after the x-ray and other diagnoses, she lost a lot of blood. The day before, she got a little bit confused.  During the diagnostic day, the patient developed dyspnea that resulted in total observation to differ significantly from the other previous observations. After the surgery, medications were to be taken because the state she is the “rest in bed” resulted from the earlier confusion.  Put the decrease in her SpO2 made her under oxygen via nasal prongs taking 4l/min (Edmunds & Boscainos, 2011).

Will she need to take these medications following surgery?

The doctor in charge ordered her clean and wearing of thromboembolic detergent stocking was a compulsory requirement.  However, the appearance did picture well since they did not after her post-operative sponge. While she was awake, she was performing q2h incentive spirometry with a tri-flow. Later she was booked for a ventilation/ perfusion scan in the afternoon.

What to Mrs. Steepens pathological results show?

Mrs. Stephens’s pathological results revealed that her immunity was too little. These are evident by the reduced level of red blood cell count of which an ordinary human is body is supposed to have 4.2- 5.2 million red blood cells (Smith, Wylde, Berstock, Maclean & Blom, 2012).

Is this common following total hip replacement?

In any surgery that leads to total hip replacement, this is not common in that the patient’s immunity is too low to sustain the process.

What can be done to reduce the likelihood of this occurring?

To reduce the likelihood of future occurring of the same, patients have to put on a proper diet and nutritional advice by the specialist some before the actual operation.

Why does Mrs. Stephens require total replacement?

 Mrs. Stephens requires this total hip replacement because of some reason; she is a member of the community where she spends many hours working voluntarily every week. She is also the meal provider in a small area in that she takes the food using a vehicle. Lastly, in three afternoons of the weeks, she spends in a local soup kitchen to provide meals for homeless people. 

What physiological manifestations are apparent that warrant this procedure?

The physiological manifestations that prompt the procedure are the two years history of considerable pain, which may have resulted from the drug effect (Smith, Wylde, Berstock, Maclean & Blom, 2012). 

Mrs. Stephens will require an arthroplasty of the other hip too. Is it possible to operate on both hips in the same surgery?

Operating both hips at the same is possible.

What will influence this decision?

The influence that compelled this to happen is the risks that are associated when double replacement is conducted. The risks are the pulmonary and neurological nature and death risk of people above 70 years of age.

Mrs. Stephens had deteriorated over the last two days. What may be the cause of this possibility of this deterioration?

Mr. Stephens

Mrs. Gleeson

She is 84 years of age

Her age is also 84 years

Hematology content is lower

Her hematology content is higher

Infection medication resulted from an excessive combination of drugs.

Her record did not show any drug infections

Her confusion came from a urinary tract infection

Her confusion resulted from one or more combinations of drugs.

The medication showed infections at born.

The medication showed to have affected the ulcers.

Comparing Mrs. Stephens and Mrs. Gleeson

For the last two days, Mrs. Stephens has deteriorated. The first possible cause of this is old age. As from the case study, it is revealed that she is 84 years of age. Another possible cause is a lack of enough walking exercise.

Is this a common risk associated with total hip replacements?

These are common risks associated with hip replacement. If a survey is taken to know how many patients undergo this surgery due to old age, you may find that age is a major factor.

Explain. What are the other risks associated with total hip replacements?

Another risk associated with hip replacement is accidents.

How can be avoided?

 Accidents can be avoided by following all traffic rules, the limit of speed observation, and not Drinking and Drive.

Definition:

Open reduction: it is a surgical procedure whereby the tissues are dissected to expose the fractured fragments.

ORIF: This procedure specifically repairs bone fracture in severity

Arthroplasty: Joint replacement/ reconstruction

Arthrodesis: a fusion of adjacent bones to aid immobilization of joints through surgery.

Hemiarthroplasty: Is the replacement of the hip joint in one-half containing a prosthetic in a procedure that leaves the other joint intact.

Total joint replacement: metal becomes a replacement for a damaged joint in an arthritic part of a joint.

Meniscectomy: the removal of a meniscus from a knee part

Bone graft: fixes problems in association with bones or joints

Fasciotomy: cutting of fascia in a procedure that relieves tension.

Tendon repairs: the procedure treats damaged or torn tissues