Hip replacement questions

  1. Student nurse here, wasnt sure where to put this.

    I have done some prac at a local hospital and they didnt have a pre admission clinic, they had a lady coming in who was told that were some tests that would need to be done "prior to admission" to hospital related to her hip surgery.

    And then there are some that would be done "upon arrival" onto the ward.

    I guess what I'm asking for here is what are some of these tests and why they are done. This was on my last day of Prac and circumstances didnt allow me to ask to many questions, I wish I had but I was whisked away to theatre which was very exciting.

    Thanks in advance for all your help

    Milenko
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  2. 6 Comments

  3. by   meownsmile
    Pre admission tests done prior to day of surgery would be EKG, chest x-ray. Day of surgery or maybe the day prior they would do CBC(wanting H&H,RBC,WBC,BUN,Creatine),CMP(potassium, sodium, calc os,glucose), PT/INR(if they had been on coumadin and had it stopped prior), possibly a UA(looking for infection that may indicate patient could be at risk for sepsis), they may repeat the chest xray if there was something suspicious on the one prior.
    I'm sure there is other things they like to see, but generally thats a fair roundup i think.
  4. by   WSU_Ally_RN
    They probably would also do a H/H to check blood levels and a type and screen to make sure they had blood on hand for her, if needed.
  5. by   mcmike55
    I agree with the others posts, in our OR, you're likely to see pre op tests that need to be evaluated ahead of time, such as chest xray, ekg, basic blood work, etc.
    Many times a social services consult may go along with that, to see what type of enviornment the pt is returning to, considering an alteration in mobility issue. Nurtrition and physical therapy, as well as home health too.
    If the pt is healthy enough, somtimes they donate a unit or two of their own blood ahead of time. This has to be done far enough ahead so that they are not too anemic on surgery day.
    The day of OR, likely you would see maybe some more basic blood work such as H and H, and urine looking for blood count, anticipating a blood loss in surgery, and the urine for possible infection, which many times cause the surgery to be postponed.
    Good question,,,,lots to consider here. Mike
  6. by   milenko
    Ok so to make this a little more simple we are looking for anything that may interfere with the surgery before during and after. As well we want to make sure the recovery capability is good as well as putting measure in place a head of time.

    Is there something I am missing?

    Thanks



    Quote from mcmike55
    I agree with the others posts, in our OR, you're likely to see pre op tests that need to be evaluated ahead of time, such as chest xray, ekg, basic blood work, etc.
    Many times a social services consult may go along with that, to see what type of enviornment the pt is returning to, considering an alteration in mobility issue. Nurtrition and physical therapy, as well as home health too.
    If the pt is healthy enough, somtimes they donate a unit or two of their own blood ahead of time. This has to be done far enough ahead so that they are not too anemic on surgery day.
    The day of OR, likely you would see maybe some more basic blood work such as H and H, and urine looking for blood count, anticipating a blood loss in surgery, and the urine for possible infection, which many times cause the surgery to be postponed.
    Good question,,,,lots to consider here. Mike
  7. by   meownsmile
    Quote from milenko
    Ok so to make this a little more simple we are looking for anything that may interfere with the surgery before during and after. As well we want to make sure the recovery capability is good as well as putting measure in place a head of time.

    Is there something I am missing?

    Thanks
    Thats pretty much it in a nutshell.
  8. by   tonyabug
    All the tests previously mentioned are correct and pretty much all there is. One reason not mentioned for them being done is for a baseline. After surgery, the patients Hgb and Hct will be monitored for anemia. PT/INR to determine doses of coumadin (if pt is taking). Basic metabolic panel monitors all electrolytes and kidney function. Just to name a few of the things the doctors are watching. Hope this adds to your information.

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