Allergies
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Includes instructions for:Gastric Bypass
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Discharge To
Home
Discharge Attending Physician
HAMAD, GISELLE G
Activity
Gastric Bypass Activity Instructions: No strenuous activities such as heavy lifting, pushing or pulling until after your follow-up visit with your doctor. Do not lift anything heavier than 10 lbs. No heavy housework (laundry, vacuuming, grocery shopping). May walk up and down stairs. Take frequent rest periods throughout the day. It is also important to take frequent walks throughout the day. This will help to prevent blood clots. Talk with your doctor about when you may return to work and your exercise routine.
Do not drive while taking prescription pain medication. May shower. No Tub Baths, Do not soak Incisions.
Diet
Phase I GBS diet until follow-up appointment.
Gastric Bypass Diet Instructions
It is very important that you drink at least 64 ounces of fluid a day. Have on hand sugar free, clear liquid items for the postoperative period. Items include: Fruit juices: Apple, grape, cranberry (mix ½ juice and 1/2 water); Broths: Clear beef, chicken, vegetable;
Others: Sugar-free Jell-O, Popsicles, frozen juice bars (no sugar added), water, Gatorade,
Crystal Light.

No straws!!! No carbonated beverages!!!
No coffee, tea, decaffeinated coffee or decaffeinated tea.
Respiratory Care
Gastric Bypass Respiratory Care Instructions: It is important to continue to do your coughing and deep breathing exercises once you get home. This will help to prevent pneumonia.
Home Care
Start of Care:
Home Care; Service: Home Health Nurse; Provider: XXXX; Agency Phone XXXXX;
Comment: RN FOR JP DRAIN CARE
Home Medications
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Roxicet 5-10 ml q4-6 H PRN pain. Do not take Tylenol if taking Roxicet.
Gastric Bypass Medication Instructions
If your surgeon gave you prescriptions pre-operatively, follow those instructions as prescribed.
Crushing medications:
Crush medications larger than an Extra-strength Tylenol.

Vitamins: Do not start vitamins until your follow-up visit.
Follow-up
As previously scheduled with Dr. Hamad in 7-9 days.
Primary Care Physician Information
Follow up with PCP
Diagnosis
Status post Laparoscopic gastric bypass
Wound / Incision Care
Gastric Bypass Wound Instructions: You may have 6 or more small incisions. Check your incisions and surrounding area daily for any increase in redness, swelling, discoloration, drainage or bleeding. If you have a clear plastic covering over steri-strips or band-aids, you may remove the clear dressing or band-aids 3 days after surgery. The steri-strips will curl and fall off on their own. If your incision is covered with tissue adhesive, you may wash the incision gently with antibacterial soap and water. Pat the incision dry and leave open to air. Do not apply any creams or ointments to the incisions.
Foley / Drains / Tubes
Gastric Bypass Foley/Drains/Tubes Instructions
No one should 'strip' or 'milk' the JP drain
Empty the JP drain 2-3 times a day and record amount of drainage on 'JP Record'. Your
JP will be removed at a follow-up appointment. See JP instruction sheet.
Additional Gastric Bypass Instructions
You may feel some chest, shoulder or abdominal discomfort. It is caused by the absorption of air through the chest wall. Applying heat to your abdomen or assuming a knee chest position may help. If a prescription was given, please follow your doctor’s directions. If the pain is not relieved by your medicine, you have difficulty breathing, or have severe calf pain call your doctor.
If you feel feverish or have shaking chills, take your temperature. Call your surgeon if your temperature is 100.5 F or above. The fever may mean there is an infection.
Call your surgeon’s office at 412-641-2080 for any of the following:

Temperature > 100.5
Increased redness around your incision
Drainage with odor from your incision
Pus from or around your incision,
Nausea or vomiting
Chest pain or sudden shortness of breath
Severe calf pain.
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Discharging Provider: XXXXXXXXX __________________________
Discharging Nurse: ________________________________
Phone Number: (412) ______________________ Date: XXXX
Reviewing Nurse: ________________________________
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I have received Healthy Lifestyle information material. This information covers the benefits of healthy eating, regular exercise, and health care tips related to Diabetes,
Stroke, Coumadin management and key points of heart failure management including: signs and symptoms to report to my physician, daily weight instruction, daily activity review and dietary choices. Additional information addresses, physician follow-up appointment, smoking cessation, warning signs of cancer and steps to control and prevent the spread of infection.
Patient verifies understanding of Discharge Instructions and is leaving with all of their valuables / belongings