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Going Home after Sternotomy with Implantation of a Ventricular Assist Device HF#6164

 

This handout is a quick review of things you need to know about caring for yourself at home.  If you have questions after you read this, please let us know.

 

Medicines

A pharmacist will talk with you about your medicines and when to take them at home before you are discharged.

Activity

Follow the guidelines set up by your UW Inpatient Cardiac Rehabilitation staff. 

Wound Care

Follow directions given to you by your VAD coordinator. 

 

  • No showering unless approved by your surgeon.
  • You must use the shower kit supplied by the VAD vendor in order to protect the electrical system and filter of your device.  For Thoratec patients, follow the special handout given to you by the hospital.

 

  • Keep your incisions clean and dry.  Do not put ointments, powders, or lotions on your incision.

 

  • Check your chest tubes sites, driveline, and incision line daily for signs of infection:  redness, swelling, tenderness, foul smelling drainage, or fever.
  • Follow directions for the driveline dressing change.

 

  • Keep your chest tube sites and sternal incision open to air unless they are draining.  If they are draining, cover them with dry gauze when you do your daily dressing change and before you go to bed at night.

 

  • Your chest tube sutures will be removed in 2-3 weeks at a clinic appointment.  Please check that an appointment has been scheduled for this to be done.

Pain Control

It is normal to have some incision pain.  Take your pain medicines as needed.

Call Your Doctor

  • If your temperature is greater than 101º F.

 

  • If you gain or lose more than 2-3 pounds in 1-2 days or mroe than 5 pounds in 1 week.

 

  • If you have any signs of infection as listed above.

 

On weekdays between 8am and 5pm, call your VAD coordinator.

After hours and on weekends, call the Heart Failure attending on call

 

 

Call 911 if you:

  • Have severe shortness of breath or chest pain.
  • Feel like you are going to faint or have fainted.
  • Have a fast irregular heartbeat while resting for 10 minutes.
  • Are found unconscious.

 

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 04/01/2013

Copyright © 03/29/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6164

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