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D. Discharge Plan (M.E.T.H.O.

D)
> Medication
* The patient has to continue the medication given.

Name of Drug Dosage and Route Curative Effects Side Effects


Frequency

Ferrous sulfate 1 tab OD P.O Helps in the Large doses may


formation of aggravate peptic
hemoglobin/ red ulcer,regional
blood cell. Aids enteritis, and
in the anemic ulcerative colitis.
patient. Severe Iron Poisoning:
Vomiting Severe
abdominal pain
Diarrhea
Dehydrationo
HyperventilationPallor
or cyanosis
Cardiovascular
Collapse

Losartan 50mg tab OD P.O Anti- CNS


potassium hypertensive dizziness, asthenia,
fatigue, headache,
insomia.
CV
edema, chest pain.
EENT
nasal congestion,
sinusitis, pharyngitis,
sinus disorder.
GI
Abdominal pain,
nausea, diarrhea,
dyspepsia.
Musculoskeletal-
muscle cramps,
myalgia, back or leg
pain. Respiratory-
cough, upper
respiratory infection.
Lasik 20mg IV q8 Intravenous Aids in renal CNS: dizziness,
with BP prec excretion of encephalopathy,
sodium, chloride headache, insomnia,
and water. nervousness
Facilitates more EENT: hearing loss,
efficient renal tinnitus
function. CV: hypotension
For the
Sodium 150mEq per ml Intravenous treatment of Hypernatremia
bicarbonate + 250 D5W metabolic Serum hyperosmolarity
KVO acidosis. Paravenous
Increased administration maylead
bicarbonate ions to tissue necrosis
in the body.

Eprex 4000 units ( 2x Intravenous Erythropoietin, CNS: Seizures,


week the cause of coldness,
anemia in CKD sweating
is lack of CV:
erythropoietin Hypertension,
production by hypertensive
the kidneys. encephalopathy
This replaces the MS: bone pain
lack of
erythropoietin in
the body and
therefore,
increases
hemoglobin ct.
in the patient.

Plain NSs 1000ml KVO Intravenous Facilitates fluids


and electrolytes.

 Instructed to avoid aspirin products to prevent bleeding.


Environment /Exercise

 Advised patient to have complete bed rest and learn energy-conserving techniques in ADL’s
until the patient regains strength.
 Encouraged the patient to move around occasionally and bend extremities (ROM exercises)
to avoid getting blood clots when resting for a long period of time.
 Encouraged patient to do deep breathing exercises to promote circulation of blood and
relaxation.
 Advised patient and family to try to maintain a safe, clean, comfortable and calm
environment.

Therapy / Treatment

 Encouraged use of soft bristled toothbrush, avoid straining during passing of stool and
forceful blowing of the nose to prevent bleeding.
 Patients who are sent home should be monitored daily. Any abnormal changes in
temperature, volume of fluid intake and losses, urine output (volume, frequency and color),
warning signs, signs of plasma leakage and bleeding, and signs of anemia should be
reported.
 Advised client and significant others to take in time prescribed medicines especially for high
blood pressure.

Health Teaching
Eat unprocessed foods to lower the sodium, such as:
 Fresh turkey and chicken
 Lean beef
 Unsalted tuna
 Fresh fish
 Fresh vegetables and fruits

 Teach the client to follow all the instructions including medications, diet
regimen and do’s and don'ts that was instructed to him by the physician.
 Teach the patient to ensure rest for himself as much as possible.
 Encouraged the patient to comply with the medication as ordered by his physician
 Explained the importance of adhering to his treatment regimen.
 Describe to the client the signs and symptoms to be reported immediately (blood in the
urine, foamy urine, swelling on the face, legs or abdomen).

Out-Patient

 Advised the patients family to follow up check-up as physician’s order to prevent further
complications and to update the medical team concerning the progress of the patient’s
condition and to promote continuity of care.
 Advised significant others to immediately consult physician if signs and symptoms of the
disease occurs or persists.

Diet

 Advised family Members to eat nutritious foods such as fruits and vegetables.
 Emphasized adequate fluid intake.
 Instructed patient to have a diet low in sodium (salt), potassium, phosphorus and protein.
 Limit processed foods such as:
 Frozen dinners and packaged meals
 Canned fish and meats
 Pickled foods
 Salted snacks
 Lunch meats
 Sauces
 Most cheeses
 Fast foods
 Encouraged the patient to limit or, if possible, avoid alcoholic beverages.