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What should I do 7 days before surgery?

4 min read

According to Mayo Clinic Health System, proper preparation can greatly improve surgical outcomes. Understanding what should I do 7 days before surgery is crucial for ensuring a smooth procedure and a swift recovery. This week-long window is the perfect time to optimize your health and finalize logistical details.

Quick Summary

A week before surgery, focus on optimizing your health by following specific instructions from your care team regarding medications, diet, and physical activity. Stop certain medications and supplements, prepare your home for recovery, and finalize personal arrangements to reduce stress and promote healing.

Key Points

  • Review and Adjust Medications: Stop NSAIDs, aspirin, and most herbal supplements 7 days prior, but confirm all changes with your doctor to avoid complications like excessive bleeding.

  • Prioritize Nutrition and Hydration: Eat a diet rich in protein and nutrients throughout the week, and stay well-hydrated, adhering to strict fasting guidelines in the 24 hours before surgery.

  • Quit Smoking and Avoid Alcohol: Cease all tobacco and alcohol use at least one week before surgery to reduce the risk of respiratory and heart complications.

  • Prepare Your Home for Recovery: Organize a comfortable recovery space with essentials within easy reach and arrange for help with meals and household tasks.

  • Finalize Logistics and Support: Confirm transportation with a responsible adult and arrange for someone to assist you immediately after surgery, especially if you have received anesthesia.

  • Manage Mental Wellness: Acknowledge and address anxiety by practicing relaxation techniques to maintain a positive mindset leading up to your procedure.

  • Follow Final Instructions: Adhere strictly to the final 24-hour instructions regarding fasting, bathing with antibacterial soap, and avoiding lotions and makeup.

In This Article

Your 7-Day Surgery Countdown: A Comprehensive Checklist

The week before a scheduled surgery is a critical time for preparation. By taking proactive steps, you can significantly enhance your chances of a successful procedure and a faster recovery. This guide provides a detailed breakdown of essential tasks, from managing your medications and diet to making practical arrangements for your post-op period.

Days 7 to 5: Focus on Medical and Health Adjustments

Your top priority during this period is to strictly follow your doctor's orders regarding medications and overall health. Certain supplements and medications can increase the risk of complications, especially bleeding, during and after surgery.

Medication and Supplement Management

  • Stop Specific Medications: Cease taking non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin. Also, stop all herbal supplements and most vitamins, including Vitamin E. If you take prescription blood thinners (like Plavix, Eliquis, or Warfarin), your doctor will provide specific, critical instructions on when to stop. Do not stop any prescribed medication without first consulting your doctor.
  • Review Your Medication List: Create a precise list of all medications, including dosages, and any allergies. This list is essential for your anesthesia team. Confirm with your surgeon and anesthesiologist which regular medications, like those for blood pressure or acid reflux, you should take on the morning of surgery.
  • Manage Chronic Conditions: If you have chronic conditions such as diabetes, work closely with your care team to manage your blood sugar levels. Uncontrolled blood sugar can lead to complications.

Nutrition and Hydration

  • Eat Nutrient-Rich Foods: Focus on a diet rich in protein, fruits, vegetables, and whole grains. Protein is vital for tissue repair and healing. Foods like lean meats, poultry, beans, and nuts are excellent choices.
  • Stay Hydrated: Drink plenty of water throughout the week. Good hydration is important for recovery, but remember that a fluid restriction will be necessary in the final hours before surgery.
  • Avoid Problematic Substances: It is crucial to stop smoking and reduce or eliminate alcohol consumption at least one week prior to surgery, if not earlier. Both can interfere with anesthesia and slow healing.

Days 4 to 2: Practical Preparations and Logistics

With the medical side handled, you can turn your attention to practical matters that will make your recovery period smoother.

  • Set Up Your Recovery Area: Arrange a comfortable space at home for your recovery. Ensure all necessary items—medications, water, books, and TV remote—are within easy reach to avoid straining yourself post-surgery.
  • Meal Prep: Cook and freeze some easy-to-reheat meals. You will likely not feel up to cooking for the first few days after surgery, so having meals ready is a huge benefit.
  • Arrange for Support: Confirm your transportation to and from the hospital with a responsible adult, as you will not be permitted to drive after receiving anesthesia. Arrange for a friend or family member to stay with you for the first 24 hours after you return home.
  • Address Your Mental Wellbeing: It is normal to feel anxious before a major medical event. Practice relaxation techniques like deep breathing or meditation. Use this time to process your feelings and focus on a positive mindset.

Comparison Table: Week-of vs. Day-before Prep

Task One Week Before Surgery 24 Hours Before Surgery
Medications Stop NSAIDs, aspirin, supplements (per doctor) Take only specified morning meds with a small sip of water
Diet Focus on protein and nutrient-rich foods Follow fasting instructions (no food or drink after midnight)
Substances Quit or significantly reduce smoking and alcohol Absolutely no smoking, alcohol, or recreational drugs
Hygiene None required, continue normal routine Shower with antibacterial soap; no lotions, makeup, or perfume
Logistics Set up recovery area, meal prep Pack essentials (ID, insurance, list of meds), remove jewelry

The Final 24 Hours: Last-Minute Instructions

By the day before your surgery, the bulk of your preparation should be complete. You will likely receive a call from the hospital or surgical center confirming your arrival time and providing final instructions.

  • Fasting Instructions: The most critical directive is to stop eating and drinking after midnight. This is essential for safety during anesthesia. Follow your hospital's specific instructions, as there may be exceptions for clear liquids up to a certain time.
  • Pre-Surgical Hygiene: You will be instructed to shower or bathe, often with a specific antibacterial soap, the night before or the morning of surgery. Use a clean towel afterward and wear clean clothing. Do not apply any deodorant, lotion, or makeup.
  • Pack Your Bag: Ensure your bag is packed with comfortable clothes, slip-on shoes, and a case for glasses or dentures. Leave all valuables and jewelry at home.
  • Get a Good Night's Sleep: Prioritize rest. If you're feeling anxious, try calming activities, but avoid over-the-counter sleep aids unless approved by your doctor.

Conclusion

Preparing for surgery in the 7 days leading up to it is a collaborative effort between you and your medical team. By diligently following instructions, managing your health, and taking care of logistical details, you can enter your procedure feeling confident and prepared. Adhering to these guidelines helps ensure your safety and promotes the best possible outcome for your recovery.

For more information on preparing for a medical procedure, you can consult reliable sources such as the American College of Obstetricians and Gynecologists.

Frequently Asked Questions

Aspirin, ibuprofen, and other NSAIDs are blood thinners that can increase the risk of bleeding during and after surgery. Stopping them a week in advance allows your body's blood-clotting mechanisms to return to normal, promoting surgical safety.

No, it is generally recommended to stop taking most vitamins and all herbal supplements, including Vitamin E, at least 7 days before surgery. Many supplements can interfere with anesthesia or increase bleeding risk. Always consult your surgeon or anesthesiologist for specific guidance.

Yes, stopping smoking is crucial. Smoking increases the risk of heart and breathing problems, wound infections, and slows down the healing process. Quitting at least a week before surgery, if not longer, significantly reduces these risks.

Avoid processed foods, excess sugar, and anything that can cause inflammation. Focus on a balanced diet rich in protein. In the 24 hours before surgery, follow your hospital’s strict fasting guidelines.

For safety reasons, makeup, nail polish, and jewelry (including body piercings) must be removed. They can harbor bacteria, interfere with monitoring equipment, and pose a risk during surgery.

Contact your surgeon's office immediately if you experience any symptoms of illness, including a fever, cough, or cold. Your surgery may need to be postponed to ensure you are in the best health possible for a safe procedure.

Yes. It is standard practice to arrange for a responsible adult to drive you home after surgery if you have had anesthesia. It is also recommended to have someone stay with you for the first 24 hours to help with daily tasks and monitor your recovery.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.