Laparoscopic nephrectomy

Laparoscopic nephrectomy VNA/HOMECARE INSTRUCTIONS:

It was a pleasure participating in your care. -You may shower but do not bathe, swim or immerse your incision. -Do not lift anything heavier than a phone book. -Do not drive or drink alcohol while taking narcotics. -Resume all of your home medications. -Call your Urologist's office (617-732-6325) to schedule a follow-up appointment in 1 week AND if you have any questions. -If you have fevers > 101.5 F, vomiting, or increased redness, swelling, or discharge from your incision, call your MD or go to the nearest emergency room.

HOSPITAL COURSE: Patient was admitted to Urology after undergoing a right **** left ****right laparoscopic nephrectomy. No intraoperative complications occurred; please see dictated operation report for further details. Patient was discharged from the PACU in stable condition. The hospital course was relatively uncomplicated, and pain was well controlled  with IV then transitioned to oral pain medications. Diet was well tolerated initially with sips of clears which then gradually transitioned to a regular diet. Patient remained afebrile throughout hospital stay. The Foley catheter was removed and the patient voided without difficulty. The patient was discharged in stable condition, ambulating independently, and with adequate pain control. Patient's incisions were healing well, without erythema, edema or discharge. Patient was given wound care instructions and advised to make a follow-up appointment with urologic surgeon Dr. _________.

PATHWAY Po pain meds once tolerating toast and crackers Diet: POD1 clears, POD2 clears toast/crackers then ADAT, sometimes Dulc supp is used for these patients. avoid ACE,ARBS, diuretics, toradol until creatinine normalizes HLIV when po intake >400cc unless elevated creatinine then ask Chief what preference is. Check labs Home POD2-3

Discharge meds -Oxydodone 5mg. #30 -Colace #60