General Post Operative

Dr. Madani’s General Post opInstructions

Our goal is providing you with the highest degree of surgical care aswell as speedy and full recovery. Here are some instructions that could helpyou in your recovery. Remember if any unusual problem arouses or you needimmediate care go to the nearest emergency room and call our office.Please read the following instructions carefully. They will help you tounderstand the normal process and reactions following your surgery and help tokeep you as comfortable as possible. Surgery of the mouth requires carefulattention to post operative instructions.

MEDICATIONS:Patients taking medications to relieve pain or otherdrugs that may impair reflexes should not operate machinery, cars, et, whiletaking these drugs. Antibiotics should be taken as directed until thisprescription runs out. Antibiotics may impair the efficiency of oralcontraceptives for the duration of the present cycle.

ANTIBIOTIC:If you were given a prescription for antibiotics likePenicillin (One tablet every 6 hours), Clindamycin (One capsule every 8 hours),or Keflex (One tablet every 6 hours), take it as scheduled. It may be advisableto take it after each meal and one before bedtime. Continue taking theantibiotics until they are finished usually in 5-7 days after surgery.

AllergicReaction: If an allergic reaction occurs, like rash,hives, or itching stop taking the medication and call our office or yourPhysician. If difficulty breathing occurs in United States call 911 because youneed immediate emergency medical care. You could consider taking 25 mg of Benadryl(an anti-histamine) to alleviate the problem, but remember you cannot driveafter you take that as it can cause some degree of drowsiness. Always consultyour doctors before taking any medications or if you also take othermedications consult a pharmacist.

PAINMEDICATION: Having pain after your surgery is expectedand common. Pain may last up to two weeks after surgery. It is highlyrecommended to take two Advil or Motrin immediately when you get home.Keep the narcotic pain medications for bedtime.

For severe pain a narcotic pain medication such as Tylenol # 3 orVicoprofen, vicodin or a number of other strong pain relievers may beprescribed for you. Take them as indicated on the prescription. The initialdose may take up to an hour before is effective. (For this reason the firstdose of your pain medication should be taken before the local anesthetic wearsoff.) Take 1 or 2 pills every 4-6 hours as needed for severe pain only. Formild discomfort, you may need to take Tylenol, Advil, Motrin, etc. When takingthe pills, be sure to drink liquids prior to help prevent an upset stomach. Ifyou develop itching, rashes or hives, stop all mediations and call our office.The prescription may not control all of you pain the first few days aftersurgery. When taking narcotic containing pain medications (e.g. Tylenol #3,Vicoprofen, Vicodin, etc) DO NOT DRIVE A CAR OR OPERATEANY MACHINERY. These medications can make you drowsy and impair yourperformance.

ANTI-SWELLINGMEDICATION: When an anti-swelling medication such asMedrol or Decadron (Dexamethasone) is prescribed your face may feel warm andappear red. This is a side effect of this medication and is not an allergy. Tocorrect these problems discontinue the medication. It will take a few days forthe symptoms to disappear. Occasionally these medications can causehiccups as well.

PRESCRIPTIONMOUTH WASH: Do not rinse or spit during the first 24hours after your surgery. You should begin rinsing with warm salt water(One half a teaspoon of salt to a glass of warm water) 24 hours after theoperation. Do not rinse more than 4 times a day. Avoid excessive vigorousrinsing. This should be done 3 to 4 times a day – for at least 2 weeks aftersurgery. If you were given a special mouthwash such as Chlorohexidine (Peridex)start using it 24 hours after your surgery. Rinse your mouth with thatonly twice (2X) daily since this mouthwash will stain your teeth.

OTHERMEDICATION: Continue other medications (such as yourblood pressure medications, insulin, etc), which you may have been takingroutinely before your treatment in our office (unless otherwise directed.) Ifantibiotics have been prescribed, please continue and complete the entiredosage. Warning: Antibiotic mayinhibit the effectiveness of oral contraceptives.

Always consult your pharmacist for drug interactions, as theconsequences of drug interaction could be extremely dangerous to your health.

INTRAVENOUSINJECTION SITE: If you have had intravenous sedationinvolving a needle in your arm then the following can occasionally happen; bruising,redness, pain, numbness or swelling at the needle site in your arm. Pleasecontact our office if this happens. This results from irritation of the vein bythe medications. It is usually treated by warm compresses over the area. Thisis done with a warm moist face cloth. It will take a few days to disappear.-Infection of the intravenous site. This can be very serious if it happens.Usually this is extremely tender and warm to touch. You may also notice a redline going up your arm.

ACTIVITYAFTER ANESTHESIA: Due to the medications that you havereceived you must be accompanied home by a friend or relative and should notattempt to drive an automobile, ride a bike, or operate any type of machineryfor at least 24 hours after the surgery. Initially you will feel drowsy andwill only feel like sitting in a chair or lying in bed. Your activity level canslowly be increased to normal levels as you become more alert. The aim shouldbe for moderate exercise the day after surgery, as tolerated.

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