The patient has experienced arthritic pain for 15 years now, with the pain eventually becoming severe recently, particularly in his right hip. The patient is fully aware of his condition and has over the years tried to…
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The medical examination conducted on the patient revealed significant degenerative changes in both hip joints, which were observed on the X-ray films. The surgeon recommended a total replacement of the right hip coupled with a total replacement of the left hip to follow in a period of 6 to 12 months. This article contains a comprehensive nursing care for a resident who has osteoarthritis and undergoes joint replacement surgery.
The RN completed a nursing history and examination of Mr Powell on admission. The medical records indicate that the patient suffers from mild Parkinson’s disease. Mr Powell is currently taking carbidopa/levodopa (Sinemet 25-100) four times a day to control his symptoms. There have been no other reports of chronic medical conditions. The RN reported that the patient been essentially healthy his entire life. Moreover, Mr Powell has no known allergies to medications, has no history of smoking, and consumes small amounts of alcohol. The medical examination conducted by the RN notes that the patient is alert and oriented. Mr Powell’s medical examination reported vital signs at BP 116/64, P 68 regular, R 18, T 97.4°F (36.3°C) PO. Marginal pulses are strong and equal in the upper extremities and slightly weaker but equivalent in the lower extremities. The patient’s feet are cool to the touch but have an immediate capillary refill. Mr Powell’s shoulders, wrists and elbows indicated full ROM. On the other hand, the ROM of both hips is significantly restricted. The pain on both sides in prompted by hip flexion beyond 90 degrees. Also, both flexion and extension of the knees are slightly limited. Mr Powell has a shuffling gait and walks with a limp, favouring his right hip.
Preoperative laboratory studies and CBC were conducted on the patient. The coagulation studies and urinalysis show a serum creatinine of 1.7 mg/dL and BUN of 30 mg/dL, with no other noted abnormal values. His ECG and chest X-ray indicate
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