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📝 Welcome back to Dr. Atkinson’s Nursing Lecture Series! Today’s topic is Arthroplasty – Hip and Knee Replacement. We’ll cover everything from preoperative preparation to postoperative nursing care, focusing on patient safety, complications to watch for, and the role of nurses in recovery and education. This lecture highlights high-yield concepts every nurse needs for both clinical practice and exam review.
📚 What’s Inside This Lecture:
1. Introduction to Arthroplasty
Difference between osteotomy and arthroplasty.
Types of prostheses: titanium, cobalt-chromium, stainless steel, polyethylene.
Fixation: cemented, cementless, hybrid.
Goals: pain relief, mobility restoration, quality of life.
Modern recovery: early rehab, multimodal pain control, minimally invasive techniques.
2. Preoperative & Intraoperative Nursing Management
Blood loss prevention: correcting anemia, tourniquet use, cell salvage, tranexamic acid.
VTE prevention: recognizing risk factors, signs of DVT/PE, prophylaxis (LMWH, aspirin, compression, early ambulation).
Infection prevention: pre-op skin prep, antibiotic timing, MRSA screening, antibiotic cement.
Pain preparation: education, realistic expectations, multimodal therapy.
3. Total Hip Arthroplasty (THA) Nursing Management
Indications: OA, RA, fractures, congenital conditions.
Post-op priorities:
Prevent dislocation (hip abduction, flexion less than 90°, abduction wedge).
Avoid twisting or rotation.
Adaptive equipment: raised chairs, toilet seats, grabbers.
Pain management, mobility assistance, and education for safe daily living.
⚠️ DISCLAIMER:
This video is for educational purposes only and does not replace medical training, professional judgment, or institutional guidelines. It is not personal medical advice. Always follow your facility’s protocols and consult qualified providers for patient care decisions. Dr. Atkinson’s lectures are designed to support nursing education and exam preparation.
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