Radical Nephrectomy with Inferior Vena Cava (IVC) Thrombectomy: Implications for Post-operative Nursing Care

Implications for Post-operative Nursing Care

Janee Klipfel, BSN, RN, CURN; Therese M. Jacobson, MSN, APRN-BC, CWOCN; Michelle Havel, BSN, RN, CURN

Disclosures

Urol Nurs. 2010;30(6):347-352. 

In This Article

Patient Discharge Education

Preparing the patient and family for discharge is an ongoing process that takes place throughout the hospitalization. Prior to discharge, verbal and written instructions are provided to the patient and family, including when to call the surgeon, activity restrictions, guidelines for medication administration, signs and symptoms of infection to report, and follow up appointments. If discharged on warfarin, patients require extensive teaching regarding goal INR range, frequency of blood testing, dietary guidelines, activity precautions, and medication interactions. Patients may need low molecular weight heparin concurrently until the INR is within range. In this case, education is needed regarding how to administer subcutaneous injections. All radical nephrectomy with IVC thrombectomy patients require ongoing surveillance to monitor closely for cancer recurrence. The first imaging and blood work is usually three months after surgery.

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