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Your Guide to Surgery - Akron General Medical Center

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Additional instructions after your<br />

surgery and for home care<br />

Coughing & deep breathing<br />

Coughing and deep breathing will help prevent pneumonia, decrease pain,<br />

improve the oxygen in your blood and remove the anesthetic from your<br />

body. You will be asked <strong>to</strong> take three or four deep breaths followed by one<br />

deep cough, 10 times every hour. Deep breathing and coughing can be<br />

accomplished in a sitting or lying position.<br />

• Breathe out normally.<br />

• Clasp your hands over your abdomen.<br />

• Breathe in until you feel your abdomen push out.<br />

• Breathe out slowly.<br />

• Rest a few seconds.<br />

• Repeat three <strong>to</strong> four times then cough 1-2 times.<br />

• Relax and breathe normally.<br />

• Repeat technique 10 times every hour.<br />

Activity<br />

Movement and walking will decrease the chance of blood clots forming in<br />

your legs. You will be taught ankle pumps. When lying down, point your<br />

<strong>to</strong>es on both feet <strong>to</strong> your chin and stretch them out by pushing them away<br />

from your chin. Do this 10 times an hour. Flex your knees. Do not lie in one<br />

position. You may wake up with pumps on your feet or inflatable s<strong>to</strong>ckings<br />

on your legs. These help pump blood from your legs back <strong>to</strong> your heart.<br />

Pain control<br />

To help control your pain, your doc<strong>to</strong>r may order medication for you. After<br />

surgery, we may not be able <strong>to</strong> s<strong>to</strong>p all your pain, but we will help you <strong>to</strong><br />

be as comfortable as possible so you can rest and sleep. Pain medications<br />

will help you cough, take deep breaths, exercise your ankles, and recover<br />

more quickly.<br />

What method may be used <strong>to</strong> give you pain relief medicines?<br />

• Medicines given by mouth are either in tablet or liquid form. Most pain<br />

medicine is taken by mouth, however these medicines cannot be used<br />

if you can take nothing by mouth or if you are nauseated or vomiting.<br />

• Injections in<strong>to</strong> muscle or skin are medicines given by shots.<br />

• Injections given in<strong>to</strong> a vein are medicines given through a small tube<br />

called an intravenous (IV) catheter. The tip of the tube stays in the vein.<br />

A Patient Controlled Analgesia pump (PCA) may be used. You will be<br />

taught how and when <strong>to</strong> use the pump.<br />

• Injections given in<strong>to</strong> the spinal fluid or in<strong>to</strong> the epidural space through<br />

a catheter.<br />

7

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