Instructions for Pulmonary Procedures at MSK Monmouth

This information will help you get ready for your pulmonary procedure at Memorial Sloan Kettering (MSK) Monmouth, one of MSK’s regional locations.

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About Your Procedure

The procedure you’ll be having is: _______________________________

Your healthcare provider will give you information and talk with you about what to expect during your specific procedure.

Your procedure will be done at MSK Monmouth. Its address is:

480 Red Hill Road
Middletown, NJ 07748

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Before Your Procedure

Ask about your medications

You may need to stop taking some of your medications before your procedure. Talk with your healthcare provider about which medications are safe for you to stop taking. We’ve included some common examples below.

Anticoagulants (blood thinners)

If you take a blood thinner (medication that affects the way your blood clots), ask the healthcare provider doing your procedure what to do. They may or may not tell you to stop taking the medication, depending on why you’re taking it.

Do not stop taking your blood thinner medication without talking with your healthcare provider.

Examples of Blood Thinners
apixaban (Eliquis®) dalteparin (Fragmin®) meloxicam (Mobic®) ticagrelor (Brilinta®)
aspirin dipyridamole (Persantine®) nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil®, Motrin®) or naproxen (Aleve®) tinzaparin (Innohep®)
celecoxib (Celebrex®) edoxaban (Savaysa®) pentoxifylline (Trental®) warfarin (Jantoven®, Coumadin®)
cilostazol (Pletal®) enoxaparin (Lovenox®) prasugrel (Effient®)  
clopidogrel (Plavix®) Fondaparinux (Arixtra®) rivaroxaban (Xarelto®)  
dabigatran (Pradaxa®) heparin (shot under your skin) sulfasalazine (Azulfidine®, Sulfazine®)  

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Read the resource Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin E. It has important information about medications you’ll need to avoid before your procedure and what medications you can take instead.

Medications for diabetes

If you take insulin or other medications for diabetes, ask the healthcare provider who prescribes the medication what to do the morning of your procedure. You may need to change the dose before your procedure.

Diuretics (water pills)

A diuretic is a medication that makes you urinate (pee) more often. Hydrochlorothiazide (Microzide®) and furosemide (Lasix®) are common diuretics.

If you take any diuretics, ask the healthcare provider doing your procedure what to do. You may need to stop taking them the day of your procedure.

Go to Presurgical Testing (PST)

You’ll have a PST appointment at MSK Monmouth within 30 days of your procedure. The date and time of your PST appointment will be printed on the appointment reminder from your healthcare provider’s office.

It’s very helpful to bring the following things to your PST appointment:

  • A list of all the medications you’re taking, including prescription and over-the-counter medications, patches, and creams.
  • Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
  • The name(s) and telephone number(s) of your healthcare provider(s).

You can eat and take your usual medications the day of your PST appointment.

During your appointment, you’ll meet with a nurse practitioner (NP) who works closely with anesthesiology staff (specialized healthcare providers who will give you anesthesia during your surgery). Your NP will review your medical and surgical history with you. You may have tests, such as an electrocardiogram (EKG) to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend that you see other healthcare providers.

Your NP will talk with you about which medications you should take the morning of your surgery.

Arrange for someone to take you home

You must have a responsible care partner take you home after your procedure. A responsible care partner is someone who can help you get home safely and report concerns to your healthcare providers, if needed. Make sure to plan this before the day of your procedure.

If you don’t have a responsible care partner to take you home, call one of the agencies below. They’ll send someone to go home with you. There’s usually a charge for this service, and you’ll need to provide transportation. It’s OK to use a taxi or car service, but you must still have a responsible care partner with you.

Agencies in New York                                     Agencies in New Jersey
Partners in Care: 888-735-8913                                     Caring People: 877-227-4649
Caring People: 877-227-4649                                      

 

Talk with a nurse on the phone

A nurse will call you 3 days before your procedure. They will:

  • Confirm the type of procedure(s) you’re having.
  • Review the instructions in this resource with you.
  • Ask you about your medical history and all the medications you’re taking.
  • Review which medications you should take the morning of your procedure.

Tell us if you’re sick

If you develop any illness (such as a fever, cold, sore throat, or the flu) before your procedure, call the healthcare provider who scheduled your procedure. After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the fellow on call for the Pulmonary Service.

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The Day Before Your Procedure

Note the time of your procedure

A staff member from the Admitting Office will call you after 2:00 pm the day before your procedure. If your procedure is scheduled for a Monday, they’ll call you on the Friday before.

The staff member will tell you what time to arrive at MSK Monmouth for your procedure. They’ll also remind you where to go. If you don’t get a call by 7:00 pm, call 212-639-5014.

Instructions for eating before your procedure

‌  
Do not eat anything after midnight the night before your procedure. This includes hard candy and gum.


 

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The Day of Your Procedure

Instructions for drinking before your procedure

‌  You can drink a total of 12 ounces of water between midnight and 2 hours before your scheduled arrival time. Do not drink anything else.

Do not drink anything starting 2 hours before your scheduled arrival time. This includes water.

Things to remember

  • Take only the medications your healthcare provider told you to take the morning of your procedure. Take them with a few sips of water.
  • Don’t put on any lotion, cream, powder, deodorant, makeup, perfume, or cologne.
  • Remove any jewelry, including body piercings.
  • Leave valuable items (such as credit cards and jewelry) at home.
  • If you wear contact lenses, wear your glasses instead. If you don’t have glasses, please bring a case for your contacts.

What to bring with you

  • A list of all the medications you take.
  • Medications for breathing problems (such as inhalers), if you take any.
  • Medications for chest pain, if you take any.
  • A case for your glasses or contacts.
  • Your Health Care Proxy form and other advance directives, if you completed them.
  • Your breathing device for sleep apnea (such as a CPAP device), if you have one.

Where to park

When you enter the parking lot, follow the signs for the Lower Concourse. There’s free parking by the Lower Concourse entrance and additional parking to the right of the entrance. Free valet parking is also available.

Once you’ve parked, go into the building through the Lower Concourse entrance. A staff member will direct you to the surgical check-in area on the 2nd floor.

What to expect

Once you’re in the building, you’ll be asked to say and spell your name and date of birth many times. This is for your safety. People with the same or a similar name may be having a procedure on the same day.

When it’s time to change for your procedure, you’ll get a hospital gown, robe, and nonskid socks to wear.

Meet with a nurse

You’ll meet with a nurse before your procedure. Tell them the dose of any medications you took after midnight (including prescription and over-the-counter medications, patches, and creams) and the time you took them.

The nurse will place an intravenous (IV) line into one of your veins, usually in your arm or hand. At first, you’ll get fluids through the IV. It will be used later to give you anesthesia (medication to make you sleep during your procedure).

Meet with an anesthesiologist

You’ll also meet with an anesthesiologist before your procedure. They will:

  • Review your medical history with you.
  • Ask you if you’ve had any problems with anesthesia in the past, including nausea or pain.
  • Talk with you about your comfort and safety during your procedure.
  • Talk with you about the kind of anesthesia you’ll get.
  • Answer your questions about your anesthesia.

During your procedure

When it’s time for your procedure, you’ll be asked to remove your dentures, prosthesis, and eyeglasses, if you have any. A staff member will bring you to the procedure room and help you onto the exam table. You’ll be attached to equipment to monitor your heart rate, breathing, and blood pressure. You’ll also get oxygen through a thin tube that rests below your nose.

Once you’re comfortable, the anesthesiologist will give you anesthesia through your IV line and you’ll fall asleep.

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After Your Procedure

When you wake up after your procedure, you’ll be in the Post-Anesthesia Care Unit (PACU). A nurse will be keeping track of your body temperature, pulse, blood pressure, and oxygen levels. You may also have a chest x-ray to make sure your lung wasn’t injured during your procedure. This type of injury is rare.

Your healthcare provider will talk with you and the person taking you home about how your procedure went. If they feel you need to stay overnight for more care, you’ll be admitted to an MSK partner facility near MSK Monmouth.

Your nurse will explain your discharge instructions to you and the person taking you home before you go home. If you had a stent placed in your lung, they’ll give you instructions for taking care of it.

If you stopped taking any medications before your procedure, ask your doctor when you can start taking them again.

 
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Contact Information

If you have any questions or concerns, call the healthcare provider who did your procedure. You can reach their nurse Monday through Friday from 9:00 am to 5:00 pm. If you don’t know their phone number, call 212-639-LUNG (212-639-5864).

After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the fellow on call for the Pulmonary Service.

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