Discharge Instructions for Post-Endocervical Mass Excision and Endometrial Curettage
The patient should resume all her current medications as prescribed, with aspirin 80mg daily to be restarted one week after surgery, and she should be provided with clear written discharge instructions including medication schedule, follow-up appointments, and warning signs to monitor.
Medication Management
Continue Current Medications:
- Losartan 50mg tablet once daily 1
- Rosuvastatin 20mg tablet once daily at bedtime 1
- Bisoprolol 2.5mg tablet once daily 1
- Isosorbide mononitrate (ISMN) 30mg tablet once daily 1
- Trimetazidine 35mg tablet twice daily 1
- Doxycycline 100mg tablet twice daily 1
Special Instructions:
- Aspirin 80mg tablet once daily should be resumed 1 week post-operation as noted in the Internal Medicine input 1
- Tranexamic acid 500mg IV every 6 hours should be continued until discharge as prescribed 1
Follow-up Care
Medical Appointments:
- Schedule follow-up appointment with OB/GYN 1
- Schedule follow-up appointment with Internal Medicine physician 1
- Ensure both departments are informed prior to discharge as requested 1
Documentation:
- Provide patient with complete medication list including drug names, dosages, and administration schedules 1, 2
- Include contact information for healthcare providers in case of emergency questions 1
- Provide written discharge summary with clear instructions 1, 2
Activity Instructions
Post-Procedure Care:
- Rest for the first 24-48 hours after discharge 1
- Gradually increase activity as tolerated 1
- Avoid strenuous activities for at least one week 1
- Avoid sexual intercourse until cleared by physician 1
Warning Signs to Monitor
Contact Healthcare Provider Immediately for:
- Heavy vaginal bleeding (soaking more than one pad per hour) 1
- Severe abdominal or pelvic pain 1
- Fever above 38°C (100.4°F) 1
- Foul-smelling vaginal discharge 1
- Shortness of breath or chest pain 1
Additional Instructions
Medication Adherence:
- Ensure patient has adequate supply of all medications until follow-up appointment 1, 3
- Explain the importance of taking medications exactly as prescribed 2, 4
- Verify patient understands the medication schedule, especially the timing for restarting aspirin 2, 4
Common Pitfalls and How to Avoid Them:
- Medication discrepancies between discharge instructions and actual prescriptions occur in up to 47.6% of patients, so ensure all medication information is consistent across all documents 2
- Non-compliance with prescriptions occurs in approximately 21% of discharged patients, so ensure patient has access to all medications before leaving 3
- Failure to fill prescriptions is common (32% of unfilled prescriptions are due to negligence), so verify patient has a plan to obtain all medications 3, 4
- Inconsistencies between written instructions and verbal directions can lead to confusion, so provide clear written instructions that match verbal guidance 2, 5
The patient should be discharged only when stable, with clear understanding of her medication regimen and follow-up plan. Ensure she has a responsible adult to accompany her home and assist with care as needed 1.