DISCHARGE PLANNING

 Medication:
1. Ceftriaxone: 800mg every 12hr IV

2. Paracetamol: 250mg/5ml every 4hr PRN

3. Isoniazid: 5ml once a day

4. Rifampicin: 6ml once a day

4. PZA (Pyrazinamide): 5ml once a day

6. Salbutamol +NAC (N-Acytyl Cysteine): every 12hr

7. Ibuprofen: 20mg/2.5ml every 6hr

 Exercise:
 Instruct patient to perform deep breathing exercise to help strengthen the
lungs, build lung capacity and prevent further accumulation of fluid
between the pleural cavities.

 Assist do active exercise (bending, and moving) to help joints and muscle
become stable, it keeps the joint areas flexible.

 Advice patient to perform simple coughing exercise to allow chest wall

contraction and may help prevent excess fluid from accumulating and help
prevent condition such as pneumonia.

 Treatment:
 Position the patient to high fowler’s position
 Nebulization
 IV Fluid
 Wound Care
 Health Teaching:
 Body Hygiene
 Well Ventilation

 Observation:
 Assist the symptoms: DOB, Chest pain and IV

 Diet:
 We also advised to take 8-10 glasses of water everyday to avoid
dehydration.

 Avoid processed foods rich in sodium (dried fish, junk foods, cup noodles,
can goods) Because it can exacerbate the condition and it retains fluid on
the body adding more complication to the patient.

 Eat a healthy diet: Fruits (Apples, Bananas, Oranges,) Vegetables

(Broccoli, Carrots, Cauliflower) Meats (Lean beef, Chicken breasts)s; good
nutrition can help body fight illness and protein helps in absorption
mechanism of fluid.