An 87-year-old with an intracapsular hip fracture is admitted at 14:00. Haemoglobin is 94 g/L, sodium 131 mmol/L, she is euvolaemic and chronic heart

Question

An 87-year-old with an intracapsular hip fracture is admitted at 14:00. Haemoglobin is 94 g/L, sodium 131 mmol/L, she is euvolaemic and chronic heart failure is clinically compensated. Which theatre plan best follows NICE?

Accepted Answer

Treat correctable abnormalities now and schedule surgery today or tomorrow

Answer

Operate only after a new outpatient echocardiogram and cardiology review

Answer

Defer surgery for 72 hours because any heart-failure history mandates optimisation

Answer

Use traction for a week before deciding whether surgery is required

Answer

Transfuse to haemoglobin 120 g/L and normalise sodium before listing for theatre

Preoperative assessment for knee arthroplasty — SCE Geriatric Medicine MCQ

An 87-year-old with an intracapsular hip fracture is admitted at 14:00. Haemoglobin is 94 g/L, sodium 131 mmol/L, she is euvolaemic and chronic heart failure is clinically compensated. Which theatre plan best follows NICE?