Dr. Jeffrey Wilde, MD
Department of Orthopedic Surgery
Lower Extremity Reconstruction
Scripps Clinic
Patient Pre-Op Instructions - Total Joint Replacement
📅 Pre-Surgical Evaluation Appointments
- Pre/Post-op Instruction with RN
- Lab (blood work) - Must be done within 30 days of surgery - 2nd Floor Geisel Pavilion
- PSE (Staph-aureus Screening/MRSA & EKG) - 2nd Floor Geisel Pavilion (ASE location)
Prior to Surgery - Timeline
🗓️ One Week Prior to Surgery
Please stop all vitamins/supplements and medications that may increase the risk of bleeding such as:
- Turmeric
- Fish Oil
- Ibuprofen (Motrin, Advil)
- Naprosyn (Aleve)
- Meloxicam
- Diclofenac
OK to continue: Tylenol and Vitamin D
If you are on a prescribed blood thinner, speak with your prescribing physician about when to stop the medication.
📅 48 Hours (2 Days) Before Surgery
Please take over the counter:
- Tylenol 1000 mg by mouth 2x daily
- Celebrex 200 mg by mouth 2x daily (prescription sent to your pharmacy along with other post-op medications)
🚫 Avoid alcohol 1 week prior to surgery
💊 5 Days Before Surgery - Antibiotic Preparation
Apply Mupirocin (antibiotic ointment) to the inside of your nostrils twice a day, five days leading up to surgery. A prescription will be sent to your pharmacy.
Important: Regardless of your nasal swab results, you will start this ointment 5 days before surgery.
🧼 5 Days Before Surgery - Skin Preparation
Start using Hibiclens (chlorhexidine) soap five days leading up to surgery:
- Wash from the neck down
- Emphasize your operative site daily
- Avoid the face and genitals
- Do not use this soap after surgery
🏥 Day of Surgery
- Follow all fasting instructions
- Take only approved medications with small sip of water
- Final Hibiclens wash
- No lotions, powders, deodorants, etc. after final wash
- Apply Mupirocin one final time before leaving home
📞 Contact Information
Dr. Jeffrey Wilde, MD
10666 N. Torrey Pines Rd, La Jolla, CA 92037
Phone: (858) 554-7993
Fax: (858) 554-6321