Preoperative scrub to clean the operative area 3 days prior to surgery as well as the morning of surgery
Take one dose which is 1 heaping tablespoon of Miralax daily starting 3 days before surgery, this will regulate their bowel, if you have a history of loose stools or diarrhea you may decrease the dosage of Miralax.
22g 2% ointment applied to both nostrils with a q tip twice a day starting 5 days before surgery. This will remove bacteria that can shed from your nose and cause an infection.
For assistance with ambulation after surgery as well as preventing falls
Outpatient physical therapy script
The goal is to start outpatient therapy the day after you are discharged from the hospital or surgery center.
Thigh High Compression stockings
Wear for 4 weeks after surgery to prevent blood clots and minimize swelling.
Medications after surgery:
Tylenol Extra Strength 1000mg every 8 hours by mouth
This is over the counter and is your first line medication for pain control. This should be taken around the clock every 8 hours for at least the first 2 weeks to help with pain control. Do not exceed more than 3000mg of Tylenol in a 24 hour period.
Celebrex 100mg twice a day by mouth
This should be taken as well in combination with Tylenol for pain control for 4 weeks. Celebrex is a prescribed strong anti-inflammatory that will help with pain.
Tramadol 50-100mg every 6 hours by mouth as needed for pain
This is your second line pain medication and should be taken as needed.
Oxycodone 5mg every 4-6 hours by mouth as needed for pain
This is prescribed for breakthrough severe pain. You can take 1 tablet for moderate pain or 2 tablets for severe pain every 6 hours as needed. Do not take more then 8 tablets in a 24hour period.
Keflex 500mg four times a day for five days (outpatient surgery only)
This is for infection prevention and should be taken starting when you get home from surgery.
Aspirin 81mg twice daily by mouth for 6 weeks
This is to prevent blood clots. Start taking aspirin in the evening after surgery.
Prednisone 5mg daily by mouth for 5 days
This is to decrease inflammation and pain.
Zofran 4mg by mouth every 6-8 hours
This is to prevent nausea and vomiting.
Senna 6mg OR Colace 100mg twice daily by mouth daily as needed for constipation
These are both an over the counter medication and either medication will work to help prevent constipation.
*Any allergy or intolerance to one of the above medications may alter your prescription profile slightly.
Additional Optional Medications
Vitron C is an over the counter iron and vitamin tablet that can be taken by mouth twice a day. This helps to reconstitute your blood volume after surgery.