DISCHARGE PLANNING

MEDICATION  Following drug maintenance as ordered :

 Calcium channel blocker

Amlodipine Besylate 5mg P.O. qd
 Water-Soluble Vitamin
Vitamin B12 1,000 mcg P.O B.I.D
 Erythropoiesis-Stimulating Agent (ESA)
Darbepoetin alfa 40mcg SQ b.i.d

ENVIRONMENNT/EXERCISE Here’s how different types of exercise benefit :

 Start off slow, start the patient's workout slowly

and progressively increase the intensity over time.
Stick to lower intensity workouts, too, like a yoga
class or a walk rather than a run or high-intensity
interval training (HIIT) workout. 
 Taking breaks often encourages the patient to
always listen to the body. If you feel tired, pause
and assess . Pushing themselves to the  limit is not
necessary, so if the patient feels exhausted, sit
down and catch the patient's breath. Waiting it out
might be the best option. 
 Shortening patients' workouts any amount of
exercise is better than getting at least 150 minutes
of moderate activity or 75 minutes of more intense
exercise each week. Getting closer to 300 minutes
of moderate exercise or 150 minutes of strenuous
activity on a weekly basis, however, provides even
greater health benefits. Shorter workouts, such as
walking around the block or climbing stairs, add
up and contribute to the patients weekly physical
activity goal. 

TREATMENT  Iron supplements taken by mouth.

 Foods high in iron and foods that help your body
absorb iron (like foods with Vitamin C).
 Iron given through an intravenous (IV) infusion.
(This is often a choice if you have chronic kidney
disease, or CKD.)
 Transfusions of red blood cellS.

HEALTH TEACHING Medical management includes :

 Following a healthy diet.

 Drinking enough water to stay hydrated.
 Exercising regularly. If you have been weak, you
should begin exercising cautiously. Check with
your healthcare provider about ways to exercise
safely.
 Avoiding exposure to chemicals that set off
anemia.
 Washing your hands often to avoid infection.
 Talking to your doctor about any changing
symptoms.
 Keeping track of your symptoms by writing them
down.


OUT-PATIENT  Instruct the patient to consume iron-rich foods to

help build-up hemoglobin stores.
 Iron supplements. Enforce strict compliance in
taking iron supplements as prescribed by the
physician.