Friday, December 25, 2015

My Kidney disease- the pre op visits Part 1

It's a 2.5h drive from home to Madison made it necessary for me to have an early dinner the day before the pre-op visit as I had a 12h fast requirement for labs (blood work) at 7:30 a.m. followed by CT abdomen at 8:00 a.m. and headed for some breakfast at the UW Cafe.  Earlier that day when I first registered I got the itinerary (test, room no.) for the day and a wrist band with a "do not take it off" instructions.  This band had my name, d.o.b and QR code.

My next appointment was the Pre-op Physical Exam at 9:30 in UWH Transplant Surgery.  The following was completed and some instructions to follow in the evening.  Here are some details:

My vitals change significantly post-transplant.

Vitals

Blood Pressure:
145/84[L arm reg cuff[
Pulse:
76
Temperature:
98
Height:
5' 6.575" (169.1 cm)
Weight:
145 lb 14.4 oz (66.18 kg)

Patient Instructions

First Day Surgery Kidney or Kidney/Pancreas: 

Complete the following today:
EKG
Anesthesia Screening
Admissions

Diet: 
Light Lunch today.
Start clear liquids only at 5:00 pm.
Nothing to eat or drink after midnight.

The pharmacist came by and went over my meds and gave me the following instructions and a prescription for bowel prep.

Bowel Prep: Bisacodyl Suppository

Medications:
Take morning of surgery : amlodipine, levothyroxine,
Take evening prior to surgery: Advate, entecavir, bisacodyl suppository, lanthanum
Hold morning of surgery: enalapril, hydralazine, lanthanum, multivitamin, Metameucil
Hold evening prior to surgery: ferrous sulfate, Metameucil, Pericolace

A Transplant nurse gave me a ziplock bag with the wash material.
Hibiclens Wash: 2 packets
                         : Wash neck, chest, and abdomen for 2-3 minutes the night before and the morning of surgery

Surgery staff will call you the day prior to surgery with your arrival time and surgery time.

I got a call around 3:00 p.m. and found out that my surgery was to be at 9:30 a.m. with a check-in time of 7:30 a.m. the next day.  

Please call the transplant clinic or your coordinator if you have questions or concerns.
            Business hours:608-263-1384 
            After hours:1-800-323-8942 


For Surgery specific questions please call First Day Surgery Center (M-F 6a-7p)
           608-265-8857 
           800-323-8942 

I was asked to have my last meal by 6 p.m., clear liquids after that until midnight and no liquids at all after midnight. I was also asked to use a laxative suppository to clear out my bowels. 

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