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NURSING ORDER DISCHARGE PLAN RATIONALE

MEDICATIONS Clopidogrel 75mg/tab; 1 tab It reduces risk of blood clots


OD AM
Atorvastatin 80mg/tab; 1 tab It reduces the production of
OD 8 PM cholesterol
Isosorbide Mononitrate It relaxes and widens the
30mg/tab; 1 tab AM blood vessels (arteries and
veins), leading to increased
blood flow.
Amlodipine 5mg/tab; 1 tab To achieve optimal blood
OD AM pressure control.
Digoxin 5mg/tab; 1 tab OD To improve cardiac output
and alleviate symptoms
associated with heart failure.
Eplerenone 25mg/tab; 1 tab It helps reduce the strain on
every other day the heart and improve
cardiac function.
EXERCISE Brisk walking is a low-impact It can help improve
aerobic exercise. Start with cardiovascular fitness.
short durations and gradually
increase as tolerated.
Diaphragmatic breathing It Inhale deeply through the
exercises. Inhale deeply nose, expanding the
through the nose, expanding diaphragm, and exhale slowly
the diaphragm, and exhale through pursed lips.
slowly through pursed lips.
TREATMENT Continue Medications Medications are a
fundamental aspect of this
ongoing care, providing
sustained benefits in
symptom control, cardiac
function, and overall well-
being.
Stop smoking and drinking To improve overall
alcohol cardiovascular health.
HEALTH TEACHING Emphasize the importance of To ensures that patients
taking prescribed receive the appropriate
medications as directed by dosage required to effectively
the healthcare provider. manage their medical
condition.
If the patient smokes, Smoking is a major risk factor
emphasize the importance of for cardiovascular diseases,
quitting. and quitting can have
significant benefits for heart
health.
Monitor vital signs regularly. It contributes to patient safety
by identifying early warning
signs of critical conditions.
Discuss the impact of Alcohol can contribute to fluid
excessive alcohol retention and exacerbate
consumption on the heart heart failure symptoms.
and recommend moderation
or abstinence from alcohol.
Encourage the involvement A strong support system can
of family members and contribute to better
caregivers in the patient's adherence to treatment plans
care. and overall well-being.
OUTPATIENT SCHEDULE Regular check-up They are essential for
promoting preventive
measures, early detection,
and ongoing management of
health conditions, ultimately
contributing to better health
outcomes and a higher
quality of life.
DIET Limit sodium intake Sodium can lead to fluid
retention, worsening
symptoms of CHF. Limiting
sodium intake is a key dietary
recommendation
Increase fiber intake Fiber-rich foods, such as
fruits, vegetables, whole
grains, and legumes, can
help manage cholesterol
levels and promote overall
heart health. Aim for a variety
of colorful fruits and
vegetables.
Limit Caffeine and Alcohol As excessive consumption
may contribute to dehydration
and interfere with sleep.

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