PRE-OPERATIVE INSTRUCTIONS
Please be advised: You will receive a call, text, and/or e-mail from the facility the day before your surgery (Friday if you are a Monday case) between the hours of 2:00 p.m. and 5:00 p.m. You may also receive additional texts, voice messages, and/or emails in the days leading up to your surgery.
Please note that your arrival time may be left on your home answering machine or cell phone voice mail. **Your arrival time and surgical time is an estimate and clinical time frames may vary. For this reason it is important that you plan the entire day for your procedure and recovery.**
If you have any further questions or need clarification of which medications to take or if you do not receive a phone call with your preoperative arrival time, please call 215-928-3100.
What You Need To Know About Your Medications
- Morning blood pressure and heart medications should be taken with a small sip of water if these medications are usually taken in the morning.
- DO NOT take any medication that is a diuretic or “water pill” such as hydrochlorothiazide (HCTZ) or lasix (Furosemide) or any medication that may be combined with these medications.
- If you are a diabetic and take oral medications or use insulin please do not take or use these medications the morning of your procedure. If you use insulin the evening before the procedure, please contact your primary medical doctor to determine if you should reduce the amount of insulin you use. Not eating in the morning and taking the regular dosage of insulin the night before surgery may cause the blood sugar to decrease to low levels.
- If you currently take aspirin, coumadin, ibuprofen or any other nonsteroidal anti-inflammatory (NSAID) medication or blood thinners, please contact your primary medical doctor and your surgical team to determine if you should continue taking these medications. These medications decrease the clotting ability of the blood and therefore must be stopped prior to some surgical procedures. It is important that your care team and physician are aware of this important information and can advise.
- If you currently take any GLP-1 or SGLT2i drugs (See the Medication list at bottom of page), please contact your surgeon’s office for instructions on stopping these medications (up to 1 week prior to surgery).
- On the day of your surgery, please bring a list of all medications that you are currently taking. Your Anesthesia Physicians will need to review these medications. This includes any eye drops currently used.
Eating and/or Drinking Before Surgery
Do not eat anything after midnight of the night before your procedure. This includes no gum, candy or mints.
ONLY Clear liquids, such as water or apple juice, are allowed up to 2 hours before arrival time. (NO ORANGE JUICE)
ONLY Black coffee or clear tea is acceptable up to 2 hours prior to arrival time. (PLEASE NOTE: TEA OR COFFEE CANNOT CONTAIN SUGAR OR CREAMER/MILK)
*Brushing your teeth is permitted.*
CHILDREN are exceptions to this rule. Please use the following guidelines:
Infants 6 months to 2 years old. These children may have:
- Milk or formula up to 8 hours before their scheduled arrival time
- Breast milk up to 3 hours before their arrival time
- Clear liquids, such as water, apple juice, or pedialyte up to 2 hours before their arrival time. (NO ORANGE JUICE)
Children 2 years to 18 years old. Clear liquids, such as apple juice or pedialyte is encouraged up to 2 hours before their arrival time.
(NO ORANGE JUICE)
If within 2 hours of arrival time, then cease the consumption of any liquids.