Exam (elaborations)
NURS 6901 ORTHOPEDIC SURGERY COMPLETE EXAM
- Course
- Institution
NURS 6901 ORTHOPEDIC SURGERY COMPLETE EXAM...
[Show more]
Content preview
NURS 6901 ORTHOPEDIC SURGERYCOMPLETE EXAM
What are preoperative orthopedic surgery considerations? - ANSWER 1. Age
2. CV
3. Neurologic
4. Hematologic
What are the age considerations for someone undergoing orthopedic surgery? -
ANSWER -Patients requiring ortho surgery are getting older, however, age is not a
limiting factor (because elective ortho surgery can increase QoL)
-Increased age is at higher risk of:
1. Pneumonia
2. Death
3. UTI
4. Extended hospital stay
5. Need for blood transfusion
What are the CV considerations for someone undergoing orthopedic surgery? -
ANSWER 1. Ortho surgery is considered an intermediate risk surgery
2. Hip/knee arthroplasties are at higher risk for period MI (does not go away for 3
months, the highest risk is one-month post-op)
3. R-sided HF patients are at higher risk of CV events
** Must assess CV status (MET) score
What are the neurologic considerations for someone undergoing orthopedic
,surgery? - ANSWER 1. Higher risk of stroke (can be patient-related or
surgery-related)
2. Post-op delerium can occur (highest for hip frx repairs)
What are the hematologic considerations for someone undergoing orthopedic
surgery? - ANSWER 1. Thrombotic event is the leading cause of morbidity and
mortality in ortho surgery
2. Must balance and carefully consider when to D/C anticoagulants and restart them
with bleeding vs. clot risk.
3. Knee/hip arthoplasty = intmdt risk of bleeding
4. vertebrospinal = higher risk of bleeding
5. the mote bony the area, the more risk of bleeding
When should you stop anti-vitamin K (Warfarin) before a ortho surgery? -
ANSWER Before block: Hold 5 days prior
May remove catheter when: INR <1.5
When should you stop NSAIDs/Aspirin before a ortho surgery? - ANSWER May
proceed neuraxial surgery if:
-Normal clotting mechanisms
-Not on other blood thinning agents
When should you stop subcutaneous heparin (for DVT prophylaxis) before a ortho
surgery? - ANSWER May proceed neuraxial surgery if:
-Normal clotting mechanisms
-Not on other blood thinning agents
When should you stop IV heparin before a ortho surgery?
Pre/post block
Catheter removal - ANSWER 1. Hold 2-4 hr before block
2. Hold 1 hr after block
, 3. Hold 2-4 hrs after catheter removal
When should you hold low-molecular-weight heparin (enoxaparin) before an ortho
surgrey?
Pre-block
Pre/post catheter removal
Oneshot block - ANSWER Prior to block:
Prophy dose (1x a day): 12 hrs prior
Therapeutic dose (2x a day): 24 hrs prior
Before catheter removal: 12 hrs prior
Post-catheter removal: 2 hrs
One shot block:
Prophy: 6-8 hrs
Therapeutic: 12 hrs
What are special populations to consider with orthopedic surgery? - ANSWER 1.
Osteoarthritis
2. Rheumatoid arthritis
3. Ankylosing spondilitis
4. Osteogenesis imperfecta
5. Cerebral palsy
6. Spina bifida
7. Duchennes
Osteoarthritis - ANSWER Wear and tear of the joints, pain is usually better in the
morning and worsens wiht activity
Anesthesia considerations for someone with osteoarthritis - ANSWER 1. Consider
comorbidities they may have developed from prolonged limited physical activity
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Boostertips. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78121 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now