VASCULAR SURGERY ASSOCIATES, L.L.C. _________________________ Roger E. Schneider, M.D. Peter J. Mackrell, M.D. Carter B. Freiburg, M.D. Peter Golueke, M.D. 8/55-2/11 Andre Biuckians, M.D. Mark D. Gonze, M.D. Kristian A. Ulloa, M.D. Richard A. Bafford, M.D. Bradford H. Houck, PA-C Henry Hoang, CRNP Jennifer L. Burton, PA-C M. Kate Johnson, PA-C DISCHARGE INSTRUCTIONS PATIENT INSTRUCTIONS FOR CARE AFTER AORTO-BIFEMORAL BYPASS ACTIVITY -No driving or heavy lifting. -You may ambulate as tolerated. DIET -Resume your pre-hospitalization diet. MEDICATIONS -Resume all pre-hospitalization medications unless otherwise instructed. -Take one aspirin, Ecotrin or Ascriptin every day (Adult-strength – 325mg). -Use painkillers as prescribed and as needed. Take with food to decrease stomach upset. -Take over the counter stool softner/laxative as needed. DRESSINGS -You may leave your incision open to air. If there is any drainage from the incision, you should cover it with a 4x4 gauze after cleaning the incision with Hydrogen Peroxide. SPECIAL INSTRUCTIONS -You may shower 24 hrs after discharge from the hospital. No tub bathing. -Clean any staples in your incision with Hydrogen Peroxide once a day. -Call the office for temperature greater than 101 or significant wound problems. -If you develop excessive drainage, opened incisions, severe pain in your legs or other problems, call the office. -We will see you in the office in 1-2 weeks. If you do not have an appointment, please call the office today. -For any other questions or problems, please call us at the appropriate office number listed below. NOTE: Your surgery involved the use of a prosthetic graft. This graft has increased risk of infection when you have any type of invasive procedure (such as dental work, teeth cleaning, colonoscopy, angiography, cystoscopy and all type of surgery.) When you are schedule for an invasive procedure, you should inform the physician performing the procedure that you have a prosthetic graft and need antibiotics to prevent infection. Any questions concerning this should be directed to our office. Upper Chesapeake Medical Campus 520 Upper Chesapeake Drive Ambulatory Care Center Suite 306 Bel Air, MD 21014 (410) 879-2006 Northwest Hospital Northwest Hosp Prof Bldg 5415 Old Court Rd Suite 101 Randallstown, MD 21133 (410)922-1608 Greater Baltimore Medical Campus 6569 N. Charles Street Physicians Pavilion West Suite 708 Towson, MD 21204 (410) 825-4928 www.vascularsurgeryassociates.net St. Joseph Medical Campus 7505 Osler Drive O’Dea Medical Arts Bldg Suite 408 Towson, MD 21204 (410)296-3845 Sinai Hospital Center 2411 W.Belvedere Avenue Morton Mower Med Bldg Suite 301 Baltimore, MD 21215 (410) 601-0500