Central Philippine Adventist College

SCHOOL OF NURSING
CLINICAL DIVISION
Bacolod Adventist Medical Center Compound
C.V. Ramos Avenue Taculing, Bacolod City
Tel. No. (034) 433-2407 Fax No. (034) 433-2363
Website: www.cpacsn.info ♦ Email: inquiry@cpacsn.info

DISCHARGE SUMMARY

Nursing Goals Orders Rationale

 Central Philippine Adventist College
Bacolod Adventist Medical Center Compound
Tel. No. (034) 433-2407 Fax No. (034) 433-2363
Website: www.cpacsn.info ♦ Email: inquiry@cpacsn.info
Upon discharge, the patient will:
MEDICATION Be able to take his medication exactly as
recommended, without missing any doses.
EXERCISE
Maintain a daily exercise of at least 30 minutes
THERAPY To improve health condition while at home
SCHOOL OF NURSING
CLINICAL DIVISION
C.V. Ramos Avenue Taculing, Bacolod City
Instructed patient on the ff.
 Ademetionine 600 mg PO 2x a day for 30 days.
 Rosiglitazone 4mg PO 1x a day for 30 days.
 Vitamin E 12 IU PO 1x a day for 30 days
 Pentoxifylline 400 mg PO 3x a day for 30 days.
To be taken with meals.
Walk for 30 -40 mins., 4 times a week.
Perform moderate exercises: 5 exercise sessions per week
of 30 minutes at your target heart rate, with a 10-minute
warm-up and a 5-minute cool-down at 30% to 40% of
your target heart rate.
 Drink a cup of milk thistle once a day.
 Practice deep breathing exercises for 10 min. 2x
a day.
It is used in liver conditions associated with reduced
bile formation (intrahepatic cholestasis). It restores the
balance of serotonin, a natural chemical present in the
brain.
Rosiglitazone is used with a proper diet and exercise
program to control high blood sugar in people with
type 2 diabetes.
Prevents cell membrane and protein damage and is
essential to the digestion and metabolism of
polyunsaturated fats. Maintains the integrity of cell
membranes, protects against blood clot formation by
decreasing platelet aggregation, enhances vitamin A
utilization, and promotes normal growth,
development, and tone of muscles. 
Decreased blood viscosity and improved blood flow,
with consequent reduction of tissue hypoxia. Resultant
increased blood flow to the extremities reduces pain
and paresthesia of intermittent claudication; further,
psychopathologic conditions associated with cerebral
hypoxia are improved.
Researchers found that adults in the highest quintile of
weekly walking activity had 73 percent lower risk for
cirrhosis-related death than those in the lowest
quintile.
Moderate exercise effectively reduces IHTG content
in the body.
A traditional remedy for liver problems, milk
thistle may boost the production of enzymes that help
the liver knock out toxins.
Diaphragmatic breathing improves cardiopulmonary
function, the oxygen content of the body and therefore
 Central Philippine Adventist College
SCHOOL OF NURSING
CLINICAL DIVISION
Bacolod Adventist Medical Center Compound
C.V. Ramos Avenue Taculing, Bacolod City
Tel. No. (034) 433-2407 Fax No. (034) 433-2363
Website: www.cpacsn.info ♦ Email: inquiry@cpacsn.info

reduces inflammation of cells.

 Drink 10-12 glasses of water per day. It prevents dehydration and it helps your liver to
function better.
HYGIENE
To maintain oral hygiene
 Brush the teeth at least twice a day. Periodontitis, as chronic inflammatory destructive
disease, is associated metabolic syndromes
 Schedule regular dental checkups and cleanings. bidirectionally. Toothbrushing is an essential and
important way to manage periodontitis through
mechanical removal of biofilm at periodontal tissue.
OPD Meet physician’s follow up appointment as scheduled
Instructed patient to:
 Return to Dr. Cocjin for ff checkup on April 2, To monitor and follow up patient’s condition.
2022 10 am at Medical Arts Building Rm 1w03
BAMC.
DIET Maintain a healthy diet conducive to the patient's liver Instructed patient to:
condition  Eat a traditional diet like the Mediterranean diet Mediterranean diet is high in healthy fats, fish, and
with 1,500 calories/day. vegetables, and low in red meat.
 Limit fructose in processed foods and avoid Studies suggest that high fructose intake may increase
sweetened drinks. the risk of non-alcoholic fatty liver disease (NAFLD),
in which too much fat is stored in liver cells. Fatty
liver disease can lead to liver inflammation and liver
damage, resulting in a more aggressive disease called
non-alcoholic steatohepatitis (NASH).
 Increase consumption of omega-3
Omega-3 fatty acid treatment may have beneficial
polyunsaturated fats and monounsaturated fats,
effects in regulating hepatic lipid metabolism, adipose
which includes using olive oil, eating oily fish
tissue function, and inflammation.
like salmon and sardines two to three times a
week, and eating nuts and seeds daily.
 Eat high-fiber foods like lots of vegetables,
Fiber helps your liver work at an optimal level. Fruits,
whole grains, nuts, and seeds, and reduce
vegetables, whole grain breads, rice and cereals can
consumption of highly processed foods like fast
take care of your body's fiber needs.
food, commercial bakery goods, and sweets.
SPIRITUAL
Experience God’s love and have a personal
relationship with Him. Religious participation fosters beliefs and provides
Encourage to keep contact with family and church
opportunities for spiritual experiences, which affect
members for spiritual support.
how people feel.
 Central Philippine Adventist College
SCHOOL OF NURSING
CLINICAL DIVISION
Bacolod Adventist Medical Center Compound
C.V. Ramos Avenue Taculing, Bacolod City
Tel. No. (034) 433-2407 Fax No. (034) 433-2363
Website: www.cpacsn.info ♦ Email: inquiry@cpacsn.info

Reference:
https://www.apollopharmacy.in/salt/ADEMETIONINE#:~:text=ADEMETIONINE%20contains%20S%2Dadenosylmethionine%20is,chemical%20present%20in%20the%20brain.
https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/rosiglitazone-maleate/
https://www.rxlist.com/vitamin_e/supplements.htm
https://economictimes.indiatimes.com/magazines/panache/take-up-walking-cycling-physical-activities-can-reduce-risk-of-death-from-liver-cirrhosis/articleshow/69427931.cms?
from=mdr
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2530904#:~:text=This%20study%20indicates%20that%20vigorous,pressure%20
among%20patients%20with%20NAFLD.
https://www.verywellhealth.com/natural-remedies-for-fatty-liver-prevention-89276
https://clinicaltrials.gov/ct2/show/NCT02863393
https://www.healthline.com/health/home-remedies-for-fatty-liver#drink-coffee
https://www.nih.gov/news-events/nih-research-matters/how-high-fructose-intake-may-trigger-fatty-liver-disease#:~:text=Studies%20suggest%20that%20high%20fructose,
%2Dalcoholic%20steatohepatitis%20(NASH).
https://pubmed.ncbi.nlm.nih.gov/23862644/#:~:text=Omega%2D3%20fatty%20acid%20treatment,in%20the%20treatment%20of%20NAFLD.
https://liverfoundation.org/for-patients/about-the-liver/health-wellness/nutrition/#:~:text=Eat%20food%20with%20fiber%3A%20Fiber,your%20liver%20to%20function%20better.