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Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.

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Updated: May 23, 2026

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction

Published on: December 3, 2017

Reevaluating the Necessity of Performing Routine Laboratory Tests in the First Week After Joint Replacement Surgery.

Yoshiaki Miyake1, Toru Takagi1

  • 1Orthopedic Surgery, Japanese Red Cross Okayama Hospital, Okayama, JPN.

Cureus
|May 22, 2026
PubMed
Summary
This summary is machine-generated.

Routine laboratory tests after joint replacement surgery are common but rarely lead to interventions. Postoperative day 3 testing may be unnecessary, potentially reducing patient burden and costs without impacting safety.

Keywords:
allogeneic blood transfusionelectrolyte abnormalityjoint replacement surgerylaboratory testpostoperative management

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Knee Arthrocentesis in Adults
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Knee Arthrocentesis in Adults

Published on: February 25, 2022

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Last Updated: May 23, 2026

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
10:35

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Published on: December 3, 2017

Knee Arthrocentesis in Adults
04:41

Knee Arthrocentesis in Adults

Published on: February 25, 2022

Area of Science:

  • Orthopedic Surgery
  • Clinical Pathology
  • Healthcare Management

Background:

  • Routine laboratory testing is standard post-joint replacement surgery in Japan.
  • Outpatient arthroplasty trends question the necessity of frequent postoperative tests.

Purpose of the Study:

  • Evaluate the necessity of routine and frequent laboratory tests in the first postoperative week after joint replacement surgery.
  • Assess the clinical significance of postoperative laboratory abnormalities.

Main Methods:

  • Retrospective study of 201 patients undergoing primary arthroplasty (hip, knee).
  • Laboratory tests analyzed preoperatively and on postoperative days 1, 3, and 7.
  • Examination of hematologic, renal, hepatic, and electrolyte parameters for therapeutic interventions.

Main Results:

  • Abnormal laboratory values were frequent (e.g., low hemoglobin 79%, elevated CRP 100%).
  • Therapeutic interventions were required in only 4% of patients.
  • No interventions were based on postoperative day 3 findings.

Conclusions:

  • Postoperative laboratory abnormalities after joint replacement are common but rarely clinically significant or transient.
  • Routine postoperative day 3 laboratory testing may be safely omitted in well-managed patients.
  • Preoperative and immediate postoperative testing may suffice, reducing patient burden and healthcare costs.