DISCHARGE PLAN

A. OBJECTIVE
1. Summarize a simple and productive health education plan;
2. Adhere prescribed medications for health maintenance and resistance;
3. Promote a healthy lifestyle, maximize the level of health ;
4. Gains knowledge in managing the condition; and
5. Maintain and ensure adequate intake for nourishment

B. METHOD
Medications
DRUG STUDY
Generic Classification Indication Mechanism of Action Route/ Adverse Reaction Contraindication Patient teaching
Name Freque
ncy/Do
sage
Ceftriaxone Antibiotic Lowersrespirat Bactericidal: inhibits IVTT CNS: Headache, Contraindicated Before:
oryinfectionsc synthesis of bacterial cell OD dizziness, lethargy with allergy to
Trade Cephalosporin aused GI: Nausea, -do skin testing into the intradermal area
wall causing cell death 3gm
Name: byStreptococc vomiting, diarrhea, cephalosporins or
-protect drug from light
Rocephin uspneumonia, anorexia, penicillin.
Staphylococcu pseudomembranou - do not mix ceftriaxone with
saureus,Haem s colitis Use cautiously antimicrobial drug
ophilusinfluen Hematologic: bone

1
 za, E. marrow with renal failure, During:
coli,Enterobac depression lactation,
teraerogenes.I LOCAL: pain, -use a separate syringe when giving this
ntra- inflammation of pregnancy drug
abdominalinfe IV site -have vitamin k available in case of
ctionscaused OTHER:
hypoprothrombinemia occurs
by superinfections ,
E.coli,Klebsiel disulfiram-like After:
lapneumoniae reaction with
alcohol -discontinue if hypersensitivity occurs
-monitor blood levels in patients taking
this drug

Clopidogril Antiplatelet Reduction of Inhibits platelet 75mg CNS: depression, Patients -Unusual change in bleeding pattern
agents; platelet atherosclerotic aggregation by irreversibly OD, pc dizziness, fatigue, predisposed to should be immediately reported to the
Trade headache
aggregation events( MI, inhibiting the binding of thrombosis physician.
Name: EENT: epistaxis
inhibitors stroke, vascular ATP to platelet receptors
Plavix RESP: cough, -The medication can be taken with or
death) in patients
dyspnea without meals
at risk for such
CV: chest pain
events including -If you miss a dose, take it when you
recent MI, acute remember then take your next dose at
coronary least 6 hours later. Do not take 2 doses at
syndrome(unstabl once.
e angina/non-Q
wave MI), stroke
or peripheral
vascular disease

2
Omeprazole Proton pump Short-term Gastric acid-pump IVTT Diarrhea, nausea, Contraindicated -Administer the drug before meals
inhibitor treatmentof inhibitor: suppresses gastric 40mg fatigue, with
-This drug will taken up for up to 8wks
activeduodenalulc acid secretion by specific constipation, hypersensitivity to
(short term therapy)
Trade er; First- inhibition of the hydrogen- vomiting, omeprazole or its
Name: linetherapy potassium ATP as enzyme flatulence, acid component; use -Have a regular medical follow up visit.
Omepron intreatmentof system at the secretory regurgitation, cautiously with
heartburn surface of the gastric urticaria, dry pregnancy,
or symptomsof parietal cells, blocks the mouth, headache, lactation.
gastroesophagealr final step of acid dizziness,
efluxdisease(GER productions. paraesthesia,
D); Short- weakness, back
termtreatment pain, cough.
ofactive
benigngastriculce
r;
GERD,severeeros
iveesophagitis,po
orlyresponsivesy
mptomaticGERD;
Long-
termtherapy:Treat
mentofpathologic
hypersecretoryco
nditions
(Zollinger-
Ellisonsyndrome,
multipleadenomas
,systemicmastocyt

3
 osis);Eradication
ofH. pyloriWith
amoxicillin or metro
nidazole
Doxorubici Anti-cancer, Breast carcinoma Cytotoxic: Bind DNA and 50mg Skin: Reversible Marked -Monitor vital signs specially the blood
n chemotherapy inhibits DNA synthesis in IV alopecia, myelosuppression, pressure for therapeutic effectiveness
Ovarian
Hydrochlori drug susceptible cell causing cell hyperpigmentation previous treatment
carcinoma -Instruct patient to report difficulty of
de death. of nailbeds and with doses of
breathing weight gain, pain or burning
dermal creases doxorubicin,
sensation, at injection site, unusual
daunorubicin and
GI: acute nausea bleeding or bruising
Trade or other
and vomiting,
Name: anthracyclines and -Assist in obtaining a wig for patient
mucositis,
Doxil anthracenes before hair loss occurs
ulceration and
necrosis of the -Encourage small frequent feeding for
colon which may nausea and vomiting
lead to bleeding
Vascular:
Phlebosclerosis,
facial flushing
Local: severe
cellulitis,
vesication, tissue
necrosis.
Hematologic:
Secondary acute

4
 myeloid leukemia
Hypersensitivity:
fever, chills,
urticaria
Docetaxel Anti-cancer Approved Kills cancer cells depends IV Fluid retention, Contraindicated to - Monitor vital signs specially the blood
chemotherapy treatment of on its ability to halt cell 10mg/ diarrhea, hair loss, patient with pressure for therapeutic effectiveness
drug breast cancer, non division. Usually, the drug ml mouth sore, decreased platelet
count, peripheral -Inform your health care provider if you
Trade small lung cell works by damaging the fatigue and
neuropathy, heart are pregnant or maybe pregnant prior to
Name: cancer, advanced RNA or DNA that tells the weakness starting treatment
stomach cancer, cell how to copy itself in compression, liver
Taxotere -Avoid staying from crowded places or
Low white blood problems, high
head, neck division. people with colds or not feeling well, you
cell count amount of bilirubin
cancer, metastatic may be at risk for infection.
in the blood, during
prostate cancer Low red blood cell lactation -Maintain a good nutrition.
count (anemia)
Furosemide Diuretics Edema due to Inhibits the reabsorption of IV Low blood Anuria; hepatic -Assess patient’s underlying condition
cardiac, hepatic sodium and water in the 20mg q pressure, coma and pre- before starting therapy
and renal disease, ascending limb of the loop 12hrs dehydration and coma; severe
hypokalemia -Monitor for renal and cardiac,
Trade burns, mild to of henle by interfering with electrolyte
and/or neurologic, GI manifestation of
Name: moderate HPN, the chloride binding site of depletion,
hyponatremia; hypokalemia
hypersensitive 1Na+, 1K+ and 2Cl- jaundice, tinnitus,
Lasix hypovolemia with
crisis, acute heart contransport system. Loop photophobia, resh, -Monitor for CNS, GI, cardiovascular,
or without
failure, reduced diuretics increase the rate pancreatitis, integumentary neurologic manifestation
hypotension
urinary output. of delivery of the tubular nausea, abdominal of hypokalemia
fluid and electrolytes to the pain and dizziness
distal sites of hydrogen and -Monitor for CNS hyperactive reflexes,
potassium ion secretion. depressed cardiac output, nausea,

5
 vomiting, tachycardia
-Assess fluid volume status (urine,color,
quality, and specifi gravity)
-Assess patient tinnitus or pain.

Ceftriaxone 3rd generation Indicated in Works by inhibiting the IV q Pain, induration, Hypersensitive to -Assess patient’s previous sensitivity
cephalosporin patient with mucopeptide synthesis in 24hrs phleblitis, rash, cephalosorins, reaction to penicillin or other
neurologic the bacterial cell wall. The 2grms diarrhea, penicillin and cephalosporins
Trade complications, betalactam moiety of ANST leucopenia, related antibiotics.
-Assess patient for signs and symptoms
Name: carditis and ceftriaxone binds to respiratory super
of infection before and during the
Forgram arthritis. It is also carboxypeptidases in the infections.
treatment
effective in gram bacterial cytoplasmic
negative membrane. These enzymes -Obtain C&S before beginning drug
infections. are involved in cell wall therapy to identify if correct treatment
division. By binding to has been initiated
these enzymes, ceftiaxone
results in the formation of -Monitor hematologic, electrolytes, renal
and hepatic function
defective cell walls and cell
deaths. -Assess for possible upper infection:
itching fever, malaise and redness
Azithromyc Antibiotic Azithromycin is Bacteriostatic or Oral CNS: dizziness Contraindicated to Before
in given to patient bactericidal in susceptible OD PO headache, vertigo, hypersensitivity to
azithromycin or -check the doctor’s order
for treatment of bacteria 500mg solemnance,
acute bacterial fatigue any macrolide -verify patients identity
Trade exacerbations of antibiotic
GI: diarrhea, -Assess for hypersensitivity to

6
Name: COPD abdominal pain, azithromycin, erythromycin or any
Zithromax nausea, dyspepsia, antibiotic
flatulence,
-assess orientation, GI output, bowel
vomiting, melena
sound, liver evaluation
Others:
-Monitor blood studies
superinfections,
angioedema, rash, During
photosensitivity,
vaginitis -Observe the 10 rights of giving
medication
-Administer on an empty stomach 1hr
before or 2-3hrs after meal
-let patient take the full course prescribe
-do not adm with antacids
After
-Monitor patient’s blood studies
-Assess bowel function for
constipation/diarrhea
-let patient report severe or watery
diarrhea, severe nausea or vomiting, rash
or itching, mouth sore, vaginal sore
-Document and record
Levodropro Antitussive For the Is a peripherally acting Oral Hypersensitivity. Hypersensitivity to -Instruct patient to increase oral fluid
drug/class or its

7
pizine symptomatic agent inhibiting the afferent TID Nausea, vomiting, component intake
relief of cough pathways that mediate the 10ml heartburn,
-Instruct patient that she may experience
generation of the cough abdominal
side effects
Trade reflex. Maintains the discomfort,
Name: antitussive activity but diarrhea; -Report directly if patient experience
Levopront considerably lower central exhaustion, difficulty of breathing or nausea.
nervous system depressant faintness,
actions. Is activated in the somnolence,
bronchopulmonary system clouding of
as the inhibitor of consciousness
bronchospasm. (stupor),
numbness,
dizziness,
headache;
palpitations.
Salbutamol Bronchodilator -to control It relieves nasal congestion Neb q CNS: restlessness, Hyersensitivity to
-Check and verify with doctor’s order
and prevent rever and reversible 6hrs apprehension, adrenergic amines
sible bronchospasm by relaxing anxiety, fear, CNS and fluorocarbons and Kardex.
Trade airway obstructio the smooth muscles of the stimulation, -Observe rights in medication
Name: n caused by asthm bronchioles. The relief vertigo, headache,
a or chronic from nasal congestion and weakness, tremors, administration such as giving the right
Albuterol
obstructive
bronchospasm is made drowsiness drug to the right patient using the right
pulmonary
possible by the following
disorder (COPD) CV: cardiac route and at the right time.
- Quick relief mechanism that takes place
arrhythmias, -Monitor ECG, serum electrolytes and
for bronchospasm when salbutamol is
palpitations,
- prevention of administered thyroid function test results.
tachycardia
exercise-
induced bronchos -Administer accurately because adverse
Derm: sweating,

8
 pasm pallor, flushing
reactions and tolerance might occur.
-Long-term
control agent for GI: nausea, -Raise side rails up because client might
patients with chro vomiting,
heartburn, unusual be restless and drowsy because of this
nic or persistent
bronchospasm or bad taste in the drug.
mouth
-Keep room well-lit and see to it that
Respi: respiratory client has a person with him closely in
difficulties,
pulmonary edema, case of vertigo.
coughing, -Assess pulse for rhythm.
bronchospasm
-Provide oral care or let patient gurgle
after inhalation to get rid of the
unpleasant aftertaste of the inhalation.

Dexthromet Antitussive Temporary relief Nonnarcotic derivative of Syrup CNS: dizziness, -Avoid -Monitor for dizziness and drowsiness,
horpan of cough spasms levorphanol. Chemically 5ml drowsiness, simultaneous use especially when concurrent therapy with
Cough in nonproductive with nonselective CNS depressant is used.
related to morphine but confusion,
suppressant cough due to monoamine
without central hypnotic or nervousness
Trade colds and analgesic effect or capacity oxidase inhibitors -Avoid irritants such as smoking, dust,
influenza. to cause tolerance or (MAO inhibitors) – fumes, and other air pollutants to lessen
Name:
serotonin unnecessary cough. Humidify ambient air
Mucostuss addiction. Antitussive
syndrome. to provide some relief.
activity comparable to that
of codeine but is less likely -Note: Treatment aims to decrease the
than codeine to cause frequency and intensity of cough without
constipation, drowsiness, or completely eliminating protective cough

9
 GI disturbances. reflex.

1. EXERCISE/ACTIVITY and HOME ENIVRONMENT

 Exercise 30-60 minutes a week
 Avoid strenuous activities and allow time for rest periods
 Do ROM exercise
RESTRICTIONS:
1. Strenuous activities
2. Heavy lifting greater than 5kg
3. Prolonged exposure to sunlight

10
HOME ENVIRONMENTAL HAZARDS:
a) Restrict smoker
b) Crowded and noisy area

3. TREATMENTS/THERAPIES
a) Attending the follow up check up :

b) Physical therapy

c) Speech therapy

4. HEALTH TEACHING/EDUCATION
PREVENTION/PROMOTION
a.) Be physically active, it can help you maintain a healthy weight
b.) Avoid exposure to radiation and environmental pollution.
c.) Maintain a healthy diet such as eating vegetables and fruits
d.) Avoid smoking and alcohol drinking
e.) Exercise regularly atleast 2times a day

11
5. OPD Visit
N/A

6. DIET
 Low salt, low fat
DAY1 DAY2 DAY3
Breakfast: Breakfast: Breakfast:
 1 cup of white rice  2 slice of wheat bread  1 cup rice
 Boiled egg  Ampalaya  Fish
 Apple  milk  1 slice banana
 water
Lunch Lunch Lunch
 1 cup rice 
 Vegetable salad
 potato
Dinner Dinner Dinner

7. SPIRITUAL CARE AND PSYCHOLOGICAL OR SEXUAL NEEDS

(/) Spiritual counseling

12
(/) Grief work
(/) Anger Management
(/) Confession
(/) Family therapy
(/) Reconciliation of conflicted Relationships
(/) Supportive Counseling
(/) Join church Organizations/Activities
(/) Prayer
(/) Meditation, Reflection, and Spiritual Devotion
(/) Religious rituals
(/) Religious/ Spiritual Materials

SEXUAL NEEDS
(/) Marriage counseling
(/) Sex Therapy
(/) Sexual Therapy
(/s) Referral to appropriate Agencies

13
14