Ray knee - discharge packet Nov 2022
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6000 Arbor Bluff Parkway
Madison, WI 53719
Arbor Bluff Medical Center (608) 555-0130
arborbluffhealth.example
After Your Knee Replacement
Ostrander, Raymond C. Discharge packet Page 1 of 6
Patient: Raymond C. Ostrander, date of birth 05/30/1953
Surgery: November 8, 2022. Went home: November 9, 2022.
Surgeon: Evan Rasmusson, MD, Arbor Bluff Orthopedics, (608) 555-0109
Operation: Total replacement of the right knee, for osteoarthritis. Spinal anesthetic. No
complications.
Allergies: Penicillin (hives). Sulfa antibiotics (rash and fever). Adhesive tape blisters the skin;
paper tape was used.
Other conditions: Type 2 diabetes. High blood pressure. Coronary stent, 2019. Enlarged
prostate.
What is in this packet
Page
1 This summary
2 Your medicines
3 Your incision, and when to call us
4 Your implant record and implant card
5 Walking, exercise and driving
6 Your appointments
Please bring the whole packet to your first therapy visit and to your two-week visit.
The first two days at home
Use the walker every time you stand, including at night.
Ice the knee for 20 minutes of every hour while you are awake.
Check your blood sugar morning and evening for two weeks. Surgery raises it. Call your own
doctor if it is over 250 twice in a row.
Ostrander, Raymond C. Discharge packet Page 2 of 6
Your medicines
Medicine How to take it Until
Aspirin 81 mg One tablet twice a day, to prevent blood December 20, 2022; then
clots once a day as before
Oxycodone 5 mg One tablet every 6 hours only if needed for Stop as soon as you can
pain. 20 tablets, no refill
Acetaminophen 500 Two tablets three times a day Four weeks
mg
Senna with docusate One tablet twice a day while taking With the oxycodone
oxycodone
Metformin 1000 mg One tablet twice a day with meals. Start Continue
again with supper on November 9
Lisinopril 20 mg One tablet in the morning Continue
Atorvastatin 40 mg One tablet at bedtime Continue
Metoprolol succinate One tablet in the morning Continue
ER 25 mg
Tamsulosin 0.4 mg One capsule at bedtime Continue
Do not take ibuprofen, naproxen or other anti-inflammatory medicines while you are on
aspirin twice a day.
Do not drive, drink alcohol or sign anything important while you are taking oxycodone. Take
unused tablets to a pharmacy drop box.
Antibiotics before dental work. For two years after a joint replacement, take one dose of
an antibiotic an hour before any dental work, including cleanings. Because you are allergic to
penicillin, yours is clindamycin 600 mg. Ask your dentist or our office for the prescription.
Ostrander, Raymond C. Discharge packet Page 3 of 6
Your incision
The incision is closed with 28 staples under a waterproof dressing. Leave the dressing on for
7 days. You may shower with it on. Do not soak in a bath, a hot tub or the lake until we tell
you.
After 7 days take the dressing off and leave the incision open to the air, or cover it with
gauze held with paper tape.
Some bruising down to the ankle, and warmth and swelling of the knee, are usual for
several weeks.
Call us at (608) 555-0109, day or night, if
your temperature is over 101.0 degrees;
the incision opens, drains more than a spot or two, or the redness around it spreads;
the pain is suddenly much worse and medicine does not help;
you cannot put weight on the leg when you could the day before.
Go to the emergency room or call 911 if
your calf is painful, hard or much more swollen than the other;
you are short of breath or have pain in your chest;
you faint.
These can be signs of a blood clot. Tell whoever sees you that you have a coronary stent and
take aspirin.
Ostrander, Raymond C. Discharge packet Page 5 of 6
Walking, exercise and driving
When What
Weeks 1 and Walker. Walk a little every hour. Stairs one at a time: up with the good leg, down with
2 the new one
Weeks 3 to 6 Cane in the left hand. Walks of 10 to 20 minutes, twice a day
After week 6 No cane indoors if you do not limp. Stationary bicycle
After week Golf, fishing from a boat, easy hiking. No running or jumping, ever
12
Exercises, three times a day, ten of each: ankle pumps; tightening the thigh with the
knee straight;
sliding the heel toward you; straightening the knee over a rolled towel; sitting and bending the
knee back under the chair. Your therapist will add to these.
Goals: the knee straight (0 degrees) by week 2; bending to 90 degrees by week 2 and to 120
degrees by
week 12.
Driving: not until you are off oxycodone, can bend the knee to 90 degrees and your surgeon
has said
yes. For a right knee this is usually 6 to 8 weeks.
Kneeling on the new knee will not harm it but may never be comfortable.
Ostrander, Raymond C. Discharge packet Page 6 of 6
Your appointments
When With For
November 14, 2022, 9:30 Megan Dahlke, PT, Arbor Bluff First of 24 therapy visits, twice
a.m. Rehabilitation a week
November 22, 2022, 1:00 Orthopedics, physician assistant Staples out, wound check
p.m.
December 20, 2022, 10:15 Dr. Rasmusson Six-week visit, with an X-ray
a.m.
February 14, 2023, 10:15 Dr. Rasmusson Three-month visit
a.m.
Please also see Dr. Raghavan within two weeks about your blood sugar, and tell Dr. Valdivia's
office that the surgery is done.
Before you leave the hospital
You have walked 150 feet with the walker Yes
You have climbed four steps with the therapist Yes
Your pain is controlled with tablets Yes
You and your wife have been shown how to change the dressing Yes
You have your implant card (see page 4) Yes
Discharge nurse: T. Okafor, RN. Reviewed with the patient and his wife on November 9, 2022,
at 10:50 a.m.
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Values from records
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The record values this file is made from: the ones its text names with {{record.field}}, and the fields its template reads. A value here is in the file's source; whether it is readable depends on the look.
| Value | Now |
|---|---|
| ray.date_of_birth | 1953-05-30 |
| hr-ray-2022-11-knee-replacement.date | 2022-11-08 |
The values at render time were not recorded: the file was rendered before files/rendered.json existed. Rendering it again records them.