IV.

Medications and Treatment

BN/GN Dosage/ Indication/ CI Side Effects Nursing
Frequency/ Responsibilities
Route

Trimetazidine 35mg/ BID/ Indication: In sensitive -Monitor ECG

PO persons nitrate and vital signs
Vastarel Coronary heart headaches closely,
disease: treatment may develop especially blood
SC: Anti-ischemic and prevention of which may, pressure.
D: 35mg angina pectoris however, be
attack. minimized by -Monitor arterial
Maintenance starting with blood gas values
therapy after low, gradually and met
myocardial increasing hemoglobin
infarction. Fresh doses. levels.
myocardial
infarction,with left -Teach patient to
ventricle failure of take oral drug 30
other origins with minutes before
impending or full- or 1to 2 hours
blown pulmonary after a meal.
edema.
-Inform patient
that drug may
Contraindication cause headache.
: Advise him to
treat headache
Patients with
as usual and not
Parkinson
to alter drug
disease,
schedule. If
Parkinsonian
headache
symptoms,
persists, tell him
tremors, restless
to contact
leg syndrome, and
prescriber.
other related
movement
disorders.
Carvedilol 6.25mg/ Indication: Bradycardia, -History:
OD/ PO AV block,
Coreg Hypertension, anginapectoris, CHF, bronchial
alone or with other hypervolemia, asthma, heart
SC: oral drugs, block,
Antihypertensives leucopenia,
especially hypotension, cardiogenic
D: 25mg, diuretics. peripheral shock,
12.5mg, 6.25mg Treatment of mild edema, allergy, hypersensitivity
to severe CHF of malaise, fluid to carvedilol,
ischemic or cardio overload. pregnancy,
myopathic origin lactation, hepatic
with digitalis, impairment.
diuretics, ACE
inhibitors. -WARNING: Do
not discontinue
Contraindication drug abruptly
: after chronic
therapy
Hypersensitivity; (hypersensitivity
severe chronic to
heart failure, catecholamines
bronchial asthma may have
or related developed,
bronchospastic causing
conditions; severe exacerbation of
hepatic angina, MI, and
impairment. ventricular
arrhythmias);
taper drug
gradually over
2wk with
monitoring.

-Consult with
physician about
withdrawing drug

VII. Discharge Plan

 Content Strategy

1. Medication > Importance of taking - Health teaching on

medication in prescribed effects of proper medicine
time and frequency, and proper intake.
especially maintenance
- Proper health teaching
medications
about the importance of
> Side effects/Adverse compliance.
effects of medications
taken

> Finish the dosage of

antibiotics prescribed to
prevent microbial
resistance.

2. Diet >Encourage the patient to - Provide health teaching

maintain the adequate on nutritious foods that
food and water intake as would provide adequate
prescribed by the doctor. energy for proper daily
Follow diabetic diet + low functioning and to promote
salt, low fat diet. Also wound healing.
encourage eating vitamin
- Advised patient to only
C rich foods.
eat the foods suggested by
the physician.

- Provide health teaching

about the importance of
compliance to diet

3. Exercise > Encourage the patient to Health teaching on the

ambulate as tolerated as effects of exercise to the
 ordered by the physician. body.

> Encourage to perform

ROM exercises.

4. Activity/Lifestyle > Instruct to restrict > Health Teaching:

Changes strenuous physical activity Reiterate to patient the
on right leg. Take adequate importance of a change in
amount of rest. ADL for faster healing and
recuperation. Afterwards,
patient may be able to
resume ADL.

5. Follow up/Check up Encourage the patient to Health teaching regarding

have her check ups on a the compliance for regular
regular basis or according check-ups that may help in
to physician advice. the prevention of
complications due to early
detection.