Dicharge Planning

MEDICATION
The patient has home medication to continue the following instructions:
Atravent 1 Neb + 2cc NSS 4 Hours for nebulization
Cefadox 200 mg 1 tablet twice a day for complete 10 days
Vastarel MR 35 mg twice a day 1 tablet
Mepirocin Ointment apply to tracheal stoma twice a day
Prednisone 5 mg tablet for twice a day in 2 days then 5 mg tablet for
once a day 2 days
Ansimar 400 mg 1 tablet for twice a day

EXERCISE
Mild exercise can increased oxygen utilization and re train muscle to help
improve the tissue.
Encourage the patient to pursed lip breathing to prolong exhalations and
increase airway pressure during expiration, thus reducing the amount of
trapped air and amount of airway resitance.
Intruct the patient to inhale through the nose while slowly counting to 3 then
blow slowly and evenly against pured lip while tightening the abdominal
muscles.
Turn side by side to prevent bedsore.
Instruct the patient to flexion and extension or rotate his foot.
TREATMENT
Nebulization
Tracheal Suction
Oxygen therapy
HEALTH TEACHING
Placed in a semi fowlers position to facilitate ventilation.
Instruct the family to encourage breathing exercises to promote lung
expansion.
The member of the family keeps paper and pencil or a magic slate within the
patients reach at all times to ensure a means of communication.
OUT-PATIENT FOLLOW UP
Instruct family to return to their attending physician for scheduled check-up
and consultation.
Advise family to report the physicians any complaints.
DIET

 Diet as tolerated but be careful and be selective to the foods.

Encourage the patient to increase fluid intake to keep the mucus thin and
help clear airway.
Eat meals when their energy levels are at highest which is usually in the
morning.