Discharge Planning

The client has HASCAD and is instructed to take the following plan for discharge:

Medications:  Ziac per 5mg /6.25 mg OD, for HPN  Plogrel 75mg OD, for prevention of artherosclerotic events in patients w/ history of recent MI.  Lipitor 20 OD, for Reduction of elevated total & LDL cholesterol and Secondary prevention of re-hospitalization for angina pectoris Exercise:  Do physical exercise at least 30 mins. of moderate intensity exercise most days. Avoid strenuous exercise. Treatment:  Have an oral fluid intake with in cardiac tolerance.
 Emphasized the importance of regular follow-up check-ups and as instructed by physician.  Advised patient and family members to seek medical advice if any unusuality arises.

Health teaching:
 Avoid activities known to cause angina pain such as sudden exertion,

walking against the wind, extremes of temp, high altitude. Instruct client to
eat healthy foods and must comply with the given

 Diet must be low in saturated fat, cholesterol, transfatty acids, sodium and alcohol.  Instruct client to take medications as prescribed, at the correct time, route, and
dosage.

OPD:
 Have a follow-up check up on his private doctor 1week after the discharge from the hospital.

Diet:
The client is instructed to do the following:  Diet must be low in saturated fat, cholesterol, transfatty acids and sodium.  Reduce the amount of fat you eat by choosing fewer high-fat foods and cooking with less fat.  Limit use of alcohol

Spirituality
 Encourage to continue to seek God s guidance and enlightenment.  Emphasize the importance of prayers in healing.  Encourage to continue to have a positive outlook in life.  Encourage to keep the faith in God and not to give up easily when hard times come.