NASAL SURGERY INSTRUCTIONS

1) Take prescription medications as directed on the bottles. If your pain is mild, you may take Tylenol instead of the prescription pain medication but make sure you are not taking more than 4000 mg of acetaminophen within 24 hours. 2) OTC products: a) amica montana tablets, any strength, take as directed, until bruising clears up b) bromelain tablets, any strength, take as directed, until bruising clears up _ c) Bacitracin ointment: apply to stitches and inside both nostrils three times a day, beginning the morning after surgery d) Nasal saline spray (Ocean etc.) squeeze bottle or mist, not aerosol, 2 sprays in each nostril, 5-6 times a day. You may begin this the morning after surgery. 3) After surgery, you may shower/wash your hair etc. but keep your nose dry until the sutures and splint are removed on day 6 or 7. You can keep your face pointed away from the shower and clean your face with a washcloth. 4) Low salt diet for one week after surgery. No alcohol or coffee for one week. 5) Sleep with your head elevated for the rst two weeks after surgery. You may put one or two pillows under your upper back/shoulders and 3 pillows under your head, so that you are propped up at a 30 degree angle. 6) May drive once off the pain medication. 7) May resume vigorous exercise two weeks after the surgery but may begin light walking etc. the day after surgery. No heavy lifting (>10 lbs.) for 2 weeks as well. 8) Ice your forehead and undemeatl1 both eyes 15 minutes every hour (while awake) for the rst three days following surgery. You can place crushed ice into the ngers of rubber gloves and apply this over the nose, eyes, and forehead. 9) No glasses or sunglasses resting directly on the nose for 3 weeks after the splint comes off. You may tape your glasses to your forehead if needed, such that glasses are oating over the bridge of the nose. 10) Call Dr. Mehta at 650-762-5406 on his cell at any time after surgery (nights/weekends etc.) for bleeding, nausea, uncontrolled pain, discolored drainage from the nose, redness around any incision lines/tape, or any concerns. During the day, you can reach us at the ofce 650-363-1500.

DISCHARGE INSTRUCTIONS FOLLOWING ANESTHESIA

If your surgeons instructions vary from these instructions, please follow your surgeons instructions You may experience lightheadedness, dizziness and sleepiness due to your anesthesia. Therefore, a responsible person must drive you home and stay with you overnight. For the next 24 hours: Do not drive a car, operate machinery or power tools. _ Do not drink alcoholic beverages of any kind, including beer ant Do not sign any important papers or make important decisions. If possible, arrange care for dependent adults or children.

ACTIVITY DIET Start with clear liquids (7-Up, broth, jello, apple or cranberry juice) and progress as tolerated to a light meal (soup, toast, cereal, etc.) then progress to more substantial food later in the day. Avoid highly spiced or greasy food. You should be able to resume your normal diet after 24 hours. Increase uids, fruits, vegetables and fiber to avoid constipation that can be caused by pain medication. Rest at home today; increase activity gradually. When you change position, move slowly to minimize any dizziness, nausea or vomiting. Have a responsible person with you the rst few times you get up.

MEDICATIONS Resume the same medications as before your procedure, unless otherwise specied. Do not take aspirin or aspirin-like products (Ibuprofen, Advil, Nuprin, Motrin, Aleve, etc.) unless your surgeon has so advised you. *-' -" --- Do not take acetaminophen (Tylenol) while taking Vicodin. If pain medication is irritating to your stomach, take it with a small amount of food or drink. Take your pain medication as soon as you feel pain - D0 NOT WAIT.

DRESSINGS Keep dressing dry, clean and in place until instructed by your surgeon to remove them.

SPECIAL DISCHARGE INSTRUCTIONS Specic procedure/discharge instructions given on

FOLLOW-UP APPOINTMENT bed Contact your surgeon for a follow-up appointment, if one has not yet been scheduled. Phone No.

Surgeon:

Contact your surgeon (or his/her associate) if any of the following occur:

Bright red or persistent bleeding or swelling Difficulty breathing Persistent nausea or vomiting Redness around the incision Unrelieved pain If your surgery was on extremity, any change in color, mobility, feeling, or temperature of fitness or toes Temperature above 101 degrees F Inability to urinate Decreasing levels of responsiveness or consciousness

If you are unable to reach your surgeon in an acute emergency, go to the nearest Emergency Department or call 911