Question

The following day, Mrs. Jones’s CBC is assessed and it demonstrates an increase in her hemoglobin to 8.9. She feels better and would like to participate in joint physical therapy? What would you assess for before she engages in activity?

Mrs. Jones a 93 year old female with a history of dementia, osteoarthritis and heart failure is admitted s/p fall. She sustained a fracture of her left hip and is 2 days postoperative hip arthroplasty who requires 2 units of packed red blood cells due to intraoperative blood loss. Her preoperative hemoglobin was 10.3 mg/dl and hct 35.1. Postoperative her hemoglobin dropped to 9.1 and 30.8 on day 1 postop and 6.9 and 21.9 on day 2 respectively.

The health care provider orders:

2 units of packed RBCs with 20 mg of IVP Furosemide in between transfusions. Administer each transfusion over 3 hours.

Answer 1

Balance is an important factor of physical function after hip arthroplasty. post-operative exercise program after surgery in rehabilitation setting it emphasize the joint range of motion and muscle-strengthening exercise. it improve balance and safe mobility. Assess patient neurological conditions for any disorder and vestibular disorder that can affect their balance during the exercise and they can not communicate and follow instructions for this joint physical therapy. Assess patient chart for special instruction, eligibility with operated joint, any complication during surgery, contraindications to exercise and other health conditions for not eligible for participation. Assess patient past medical and surgical history and present vital signs and oxygen saturation etc.