Hip Replacement Guru

March 27, 2010

Medications for a patient who underwent Total Hip Replacement surgery?

Filed under: Hip Replacement,Total Hip Replacement — Tags: — admin @ 7:16 am

Okay, can anyone give me other possible medications that can be given to a patient that underwent total hip replacement surgery? Besides Tramadol for pain. You guys can give me the generic or brand names or both. I need it for my student nursing care plan, under the meds section. Thanks!
While in the hospital after both of my hip replacements, I was given oxycontin for pain after I was “weaned” from the PCA. I have no idea what drug the PCA was dispensing. Upon dismissal I was given Tylenol-3 to take at home. I didn’t like the T3 so I ended up taking just OTC Extra-strength Tylenol and Tylenol PM at night and it was enough. The T3 made me nauseous. Also I took warfarin (Coumadin) for 5 weeks. I was also given a muscle relaxant after my first surgery. I wish I had asked for a script for a sleeping pill as well. This is just my experience. You will find that different surgeons may prescribe different pain & blood thinning drugs.

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3 Comments »

  1. HEPARIN ! such a patient (most likely an elderly female who had fracture neck of femur after minor fall and her bones are suffering from osteoporosis which makes them weak) after the operation she will be bed ridden for a while your main concern is DVT (deep vain thrombosis) in the legs which will shoot emboli to the lung and she can suddenly die from pulmonary embolism. So you need an anticoagulant.
    I also think a laxative, something to make stool loose because also bed ridden patient tend to constipate.
    Maybe broad spectrum antibiotic as prophylaxis to cover for possible wound infection. Cefazolin is Orthopedics ppl favorite.
    Also incentive physiotherapy to prevent Atelectasis (lung collapse) is a common practice in post OP patient.

    That all I can think about !
    References :

    Comment by dr.moe — March 27, 2010 @ 1:41 pm

  2. I took care of my husbands Grandmother after her hip replacement, and the her hip fracture, and then her hip re-fracture..okay the lady fell every time she went back home. She was always given Darvocet. Might just be her and her doctor, but that is what she always took.

    That person above is right about the laxative and the heparin(blood thiner). Although my grandmother usually just takes the baby aspirin.
    References :

    Comment by khall — March 27, 2010 @ 2:13 pm

  3. While in the hospital after both of my hip replacements, I was given oxycontin for pain after I was "weaned" from the PCA. I have no idea what drug the PCA was dispensing. Upon dismissal I was given
    Tylenol-3 to take at home. I didn’t like the T3 so I ended up taking just OTC Extra-strength Tylenol and Tylenol PM at night and it was enough. The T3 made me nauseous. Also I took warfarin (Coumadin) for 5 weeks. I was also given a muscle relaxant after my first surgery. I wish I had asked for a script for a sleeping pill as well.

    This is just my experience. You will find that different surgeons may prescribe different pain & blood thinning drugs.
    References :

    Comment by Kraftee — March 27, 2010 @ 2:54 pm

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