Discharge Instructions for Nephrectomy (Pediatric) - Fairview Health Services
 
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Discharge Instructions for Nephrectomy (Pediatric)

Your child had a nephrectomy. His or her kidney was removed because it wasn’t working properly, putting your child at risk of future problems, such as dangerous infections or high blood pressure. Now your child can live a normal, healthy life with one kidney. Here’s what you’ll need to know about caring for your child following surgery.

Incision Care

  • Do not allow your child to swim or sit in a bathtub or hot tub until the doctor says it’s okay to do so. This helps prevent infection of the incision site.

  • Allow your child to take showers as needed.

  • Keep your child’s incision clean and dry. Wash the incision gently with mild soap and warm water. Then gently pat the incision dry with a towel.

  • Do not remove the white strips (Steri-Strips) from your child’s incision. Let the strips fall off on their own.

Activity

  • Do not worry if your child feels more tired than usual. Fatigue and weakness are common for a few weeks after this surgery.

  • Follow the doctor’s instructions regarding activity. Your child’s activity should be limited at first, then gradually increased as he or she heals.

  • Do not allow your child do strenuous activities such as mowing the lawn or playing very active sports or games.

  • Tell your child to stop any activity that causes pain.

  • Let your child go back to school as soon as he or she feels ready.

Other Home Care

  • Unless told otherwise, encourage your child to drink plenty of water. Give your child water or other fluids every 2 or 3 hours as directed by the doctor.

  • Feed your child a normal, healthy, well-balanced diet.

  • Feed your child high-fiber foods to avoid constipation. Also, use laxatives, stool softeners, or enemas as directed by your child’s doctor.

  • Give your child pain medication as directed.

Follow-Up

Make a follow-up appointment as directed by our staff.

 

When to Call Your Child’s Doctor

Call your child’s doctor right away if your child has any of the following:

  • Fever or shaking chills

    • In an infant under 3 months old, a rectal temperature of 100.04°F  (38.0 °C) or higher

    • In a child 3 to 36 months, a rectal temperature of 102°F (39.0°C) or higher

    • In a child of any age who has a temperature of 103°F (39.4°C) or higher

    • A fever that lasts more than 24-hours in a child under 2 years old or for 3 days in a child 2 years old

    • A seizure caused by the fever

  • Nausea or vomiting

  • Increased pain

  • Blood in the urine

  • Noticeable decrease in urine output

  • Redness, swelling, warmth, or pain at the incision site

  • Drainage, pus, or bleeding from the incision

  • Incision that opens up or pulls apart

 

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