Case Steven Q13: When can the patient have his hip replacement surgery following an acute ischemic stroke and treatment with thrombolysis (tPA)?

Case Steven Q13: When can the patient have his hip replacement surgery following an acute ischemic stroke and treatment with thrombolysis (tPA)?

Case Steven Q13: When can the patient have his hip replacement surgery following an acute ischemic stroke and treatment with thrombolysis (tPA)?

Correct answer is C: After 1 month, following a thorough evaluation Explanation: Timing for Hip Replacement Surgery: After 1 Month, Following a Thorough Evaluation: Typically, elective surgeries such as hip replacement are postponed for at least 1 month after an acute ischemic stroke and thrombolysis. This allows time for recovery and reduces the risk of perioperative complications, such as bleeding or thromboembolic events. A thorough evaluation is required to ensure that the patient’s condition is stable and that he has recovered sufficiently from the stroke. Incorrect Timing: Immediately After the 24-Hour Post-Thrombolysis Period: Immediate surgery is not advisable due to the need for a period of stabilization and recovery after thrombolysis. After 1 Week, Provided There Are No Complications: While the patient might be stable, 1 week is generally too soon for elective surgery due to the need for a longer recovery period and risk management. After 3 Months, Based on a Complete Recovery from Stroke: Waiting 3 months may be excessive unless there are specific complications or delays in recovery. However, assessing readiness at 1 month is typically sufficient for planning elective surgery. A careful assessment by both the stroke care team and orthopedic surgeon is essential to determine the optimal timing for surgery based on individual patient recovery and risks.

Verifiziert von Dr. Petya Stefanova

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