Nursing Care in Total Hip Replacement with Shock : Case study

Abstract

     This study aimed to study nursing care process in patient Total Hip Replacement with Shock
     Result : A 57 years old male patient admitted in King Narai Hospital in 3 December 2019. Patient presented with chronic right hip pain, refer pain to leg for a month. Avascularnecrosis both hip was diagnosis and right Total hip replacement was planned. Underlying disease was Asthma prolong steriod used 12 year,Cirrhosis, Diabetcmalletus, Hypertension Risk of tendency bleeding due to thrombocytopenia was found in preoperation period. Problem solving was done under multidisciplinary team ( Medication and Anesthesiologist)by evaluation and platelet concentrate replacement until normal level of platelet. Safety Pre- Operation was done for safety surgery Right total hip replacement was done on 3 December 2019. Estimate blood loss were 1,200 ml. Hypovolemic shock and hypoxia were occurred in post-operation period. Ventilator support was done for 48 hours. Weaning respirator was performed and extubation was successed. Fluid resuscitation and blood transfusion were performed until improved circulation status. Acute renal failure, wound infection and hip dislocation were hot found. Discharge planning was planned for long term
complication prevention. Patient and family were ready to self care then discharge on 14 December 2019length of stay were 11 days.