48 hours after

Activity

• Encourage sitting in a chair 4 times today.
• Encourage walking 4 times today.
• Arm exercises 3 times
• PT will continue to help you with activity.

Diet

• Chew mint gum.
• Continue to eat small snacks/meals throughout the day. Your child's appetite will not be the same as normal because of the pain medicines.
• We won't use scheduled IV nausea medicine today. If your child is nauseous, we can use an oral dissolving Zofran to treat nausea.
• Continue with constipation medicines. If given Miralax, your child must drink it within 20 minutes for it to help with bowel movements.

Pain

• PCA will likely end today, but IV doses of medicine will be available if needed. The goal is to avoid using IV pain medicine.
• The Ketorolac will likely stop today, and your child will start using ibuprofen in a liquid or pill.

Treatment

• Lab comes to draw blood, so we can check blood counts.
• The drain tube may come out today.
• The catheter will likely be removed today. If your child has problems urinating, we may need to do another temporary catheter.
• We will check bandages often. If edges roll up, we will show you how to reinforce them & tape them down.