TY - CHAP M1 - Book, Section TI - Local Anesthetics A1 - Jobst, Erin E. A1 - Panus, Peter C. A1 - Kruidering-Hall, Marieke Y1 - 2020 N1 - T2 - Pharmacology for the Physical Therapist, 2e AB - CASE STUDYK.P. is a 71-year-old retired accountant who had a right total knee arthroplasty (TKA) yesterday afternoon. To optimize pain control and promote early mobilization, the hospital follows a multimodal analgesia protocol in the perioperative period for individuals undergoing joint replacements. This protocol involves nonsteroidal anti-inflammatory drugs and acetaminophen, femoral nerve block with bupivacaine, and opiates as needed for additional pain control. On postoperative day one, the physical therapist enters the patient’s room to initiate an evaluation. She finds K.P. seated at the edge of the bed and attempting to stand with the front-wheeled walker. The therapist asks the patient to permit her to assist, but to first allow her to don the knee immobilizer. The patient gets upset and states that he urgently needs to use the bathroom and does not want to waste time. The therapist explains that if he were to attempt standing without the knee immobilizer, he would risk a fall to the floor because of the femoral nerve block that was administered. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192815694 ER -