DISCHARGE INSTRUCTIONS Pediatric Urology
Transcription
DISCHARGE INSTRUCTIONS Pediatric Urology
PRINT BLANK FORM RESET FORM PRINT COMPLETED FORM AND RESET DISCHARGE INSTRUCTIONS Pediatric Urology – Dr. Michaella Prasad Meatoplasty / Penile Adhesions / Penile Skin Bridge Page 1 of 1 Form Origination Date: 1/13 Version: 1 Patient Name MRN PATIENT IDENTIFICATION LABEL Version Date: 1/13 Please read these instructions carefully before you leave the hospital with your child. If you have any questions regarding these instructions, please ask your physician or nurse. GENERAL ACTIVITY Children may return to school or day care after 4-5 days. Straddle toys (Exer-saucers, baby-walkers, bikes, jumping toys, straddle swings), running and other strenuous activity should be avoided for 2 weeks. High chairs, strollers and car seats are safe to use. Swimming may resume in 2 weeks. Teenagers should not drive for 2 weeks. DIET All children may resume a regular diet on the day after surgery. Please keep diet to bland food and several small meals (rather than 3 large ones) for 3-4 days. BATHING Sponge bathe for two days, then resume tub baths or showers on the 3rd day. DRESSING & WOUND CARE All sutures should dissolve on their own after a month. At each diaper change, apply a large amount of antibiotic ointment (for the first 5 days) or petroleum jelly (Vaseline®) to the head of the penis. If your child does not wear diapers, apply the jelly 3 times per day. Check to see that the skin of the shaft of the penis is not sticking to any raw areas on the head of the penis. Make sure you can see the full outline of the head of the penis. MEDICATIONS If your child is less than 6 months of age, please use only acetaminophen every 4-6 hours as needed for the next 48 hours. If your child is older than 6 months of age, please alternate acetaminophen (Tylenol®) and ibuprofen (Advil® or Motrin®) every 3 hours for the next 48 hours. For the first 24 hours, you may want to wake the child to administer one of these medications. If you received a prescription pain medicine, use it for the first 48 hours only if you think he/she really needs it instead of the acetaminophen. Older children (>5 years) may need the prescription for a longer period of time (3-5 days). The prescription pain ® medicine may have acetaminophen (Tylenol ) in it. If it does, do not use both (the prescription pain medicine and regular Tylenol®) at the same time. Your child’s dose of acetaminophen (160 mg/5mL; 10-15 mg/kg/dose):_______________________________________________ o For neonates (< 6 months): maximum dose is 60 mg/kg/day Your child’s dose of ibuprofen (100 mg/5mL; 4-10 mg/kg/dose):_____________________________________________________ Check that you have the correct concentration/strength of medicine (as in bold above); ask your pharmacist if you are unsure. WHAT TO EXPECT Your child may be fussy or irritable the first day and experience some spotting or light bleeding at the site of the surgery. WHEN TO CALL Temperature greater than 101.5ºF Drainage or odor from the incision sites Heavy bleeding from the incision sites Persistent nausea and vomiting lasting >24 hours Pain not relieved by medication Inability to urinate for more than 8 hours; no bowel movement for >3 days FOLLOW-UP Please arrange a follow-up appointment for 4 weeks after surgery at the location most convenient for you (West Ashley, Downtown – Rutledge Tower, or Mount Pleasant). Appointment line: 843-792-7888. If you need to speak with someone during business hours (8am4pm), please call my assistant at 843-792-5347. If it is outside of regular business hours, or if you are unable to reach my assistant, please call the hospital operator directly at 843-792-2123 and ask to have the on-call Pediatric Urology resident paged. These discharge procedures have been explained to the patient and / or responsible person. Nurse I understand the above instructions. Date Original to Medical Record ch_pedsurology_dcinstruct_meatoplasty Patient / responsible person Copy to Patient OTE 700807 1/13
Similar documents
Circumcision/Penis Surgery Post-Operative Instructions
PRINT COMPLETED FORM AND RESET
More information