Patient Education for Cholecystectomy

	Before Surgery	Day of Surgery	Post-op Day 1	Post-op Day 2
What Test, procedures should I expect?	Pre– Surgical Testing / Bring your X-rays, CT scans Discs / Bring Cardiac Clearance if ordered / Bring any recent blood test / Chest X-ray, Blood test will be done if not done recently	In Pre Op room you will have / an IV will be started / Compression boots on legs will be placed for blood circulation / Meet Dr. Sukharamwala and the Anesthesiologist / In the operating room, after you are put to sleep following will be placed / Nasogastric (NG) tube will be inserted through your nose to drain stomach fluid / A Foley catheter will be placed to drain the urinary bladder / A Surgical JP drain may be placed in the abdomen	You will expect to have / Compression boots on when not walking / Depending on your urine out, Urinary catheter may stay or be removed / NG tube comes out / IV fluids continues / Blood drawn to monitor your Blood counts and electrolytes / Continue with IV pain medications	You will expect to have / Compression boots on when not walking / IV fluids fluid rate will be reduced / Blood draw to monitor your Blood counts and electrolytes / Continue with IV pain medications and transition to Oral pain medications
What type of diet can I have?	You are advised to have Clear liquids diet the day before surgery and the night before surgery / Please stay Nothing to eat or drink after midnight. / You can take with one sip of water your heart medications or Blood Glucose medications in the morning on the day of your surgery.	DONOT eat or drink anything on the day of surgery	Some ice chips may be started	Clear liquid diet will be started . This will include Jell-O, broth, water , apple or grape juice.
Special Instructions	The night before surgery: / Wash with Hibiclens® at night	Wash with Hibiclens® in the morning / Bring your BiPAP machine if using one / Ask questions if any	Walk, Walk, Walk / Use your incentive spirometer 10 times every hour while awake / Rest in Bed / Social Worker IN to assess special discharge needs	Walk, Walk, Walk / Use your incentive spirometer 10 times every hour while awake / Rest in the reclining chair / Use rest room for urinals / May take a SHOWER

Patient Education for Whipple Operation

	Post-op Day 3	Post-op Day 4	Post-op Day 5- / Discharge	Discharge instructions
What Test, procedures should I expect?	IV fluids rate reduced / Blood tests	IV fluids stopped (IV catheter stays in) / Blood tests / JP drain will be removed if the amount of fluid drained in minimal and normal in appearance.	IV removed / Discharge / Depending on your personal needs, social support you may be discharge to / Home / Rehab facilty / Long Term Acute Care (LTAC) Facility	Pain Medication Rx will be given on discharge. / Stool softners prescription will be given / Follow up appointment will be arranged / JP drain may stay in the abdomen on discharge if the amount and type of fluid is abnormal.
What type of diet can I have?	. Clear liquid diet, advancing to a regular diet as you tolerate it	Full liquid diet to soft diet	Regular diet/ Sof t diet
Special Instructions	Continue using your incentive spirometer every hour while awake / Sit in a chair for a longer period of time / Walk with help as instructed	Continue using your incentive spirometer every hour while awake / Sit in a chair for a longer period of time / Walk with help as instructed	You will be discharged home / Do not drive while you are on pain medication / Do not lift more than 10 pounds for 6 weeks	Walk as much as possible / Expect to feel tired / Call your doctor with any questions or concerns

#