Hip replacement questions

meownsmile, BSN, RN · Sep 24, 2005

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.

WSU_Ally_RN, BSN, RN · Sep 24, 2005

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.

mcmike55 · Sep 24, 2005

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

milenko · Sep 24, 2005

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

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

meownsmile, BSN, RN · Sep 26, 2005

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.

tonyabug · Sep 26, 2005

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.