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Discharge Plan: University of Cebu - Banilad

This discharge plan is for a 54-year-old patient diagnosed with cardiogenic shock from food-induced anaphylaxis, hyperthyroidism from Graves' disease, and acute kidney injury exacerbated by chronic kidney disease and NSAID use. The plan outlines criteria for the patient's recovery, including managing food triggers, adhering to medication regimens, maintaining thyroid and renal health, and making lifestyle modifications. Nurses will provide education on the patient's conditions and medications, recommend diet and exercise, and schedule follow-up appointments.

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250 views2 pages

Discharge Plan: University of Cebu - Banilad

This discharge plan is for a 54-year-old patient diagnosed with cardiogenic shock from food-induced anaphylaxis, hyperthyroidism from Graves' disease, and acute kidney injury exacerbated by chronic kidney disease and NSAID use. The plan outlines criteria for the patient's recovery, including managing food triggers, adhering to medication regimens, maintaining thyroid and renal health, and making lifestyle modifications. Nurses will provide education on the patient's conditions and medications, recommend diet and exercise, and schedule follow-up appointments.

Uploaded by

CHINGCHONG SLAYER
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© © All Rights Reserved
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UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines


College of Nursing
Telephone No: (032) 231- 8631

DISCHARGE PLAN
Patient’s Name: I.P.V. Hospital No: 20190220000004 Age: 54
Room No.: ICU-1 Physician: DR. JESUSA SANTOS, DR ATHENA MARJULIE CUBETA MEJIA
Impression/Diagnosis: (1) CARDIOGENIC SHOCK SECONDARY TO FOOD INDUCED ANAPHYLAXIS (2)
HYPERTHYROIDISM SECONDARY TO GRAVES DISEASE (3) AKI ON TOP OF CKD TO NSAID NEPHROPATHY .

PATIENT’S OUTCOME CRITERIA NURSING ORDER

 Patient and family can recognize and respond Medication Management:


appropriately to early signs of anaphylaxis.  Discuss other medications as prescribed
 Patient can identify and avoid food triggers. (antihistamines, corticosteroids).
 Educate on the importance of taking antithyroid
 No recurrence of anaphylactic episodes during
medications as prescribed.
the follow-up period.
 Schedule regular follow-up appointments with an
 Thyroid function is within normal limits. endocrinologist.
 Patient understands and adheres to medication  Emphasize avoidance of NSAIDs and nephrotoxic
regimen. medications.
 Patient can identify and manage stressors  Ensure compliance with prescribed medications for
effectively. blood pressure and renal function.
 Demonstrates lifestyle modifications for thyroid 
health.
Lifestyle Modifications:
 Stable renal function with improvement in AKI.
 Adherence to prescribed medications and dietary  Discuss stress reduction techniques (e.g., meditation,
restrictions. deep breathing).
 Patient can identify and manage factors  Encourage a balanced diet and regular exercise.
contributing to kidney disease.  Provide dietary guidelines to manage fluid and
 No recurrence of AKI during the follow-up electrolyte balance.
period.  Collaborate with a dietitian to develop a renal-
friendly diet plan.

Education:

 Provide information on signs and symptoms of


hyperthyroidism.
 Offer resources for emotional support and coping
strategies.
 Educate on the importance of hydration and
maintaining a healthy lifestyle.
 Provide information on managing comorbid
conditions contributing to kidney disease.

Follow-up:

 Schedule regular thyroid function tests.


 Encourage ongoing communication with healthcare
providers.
 Refer to a nephrologist for ongoing management of
CKD.
 Consider physical therapy for mobility issues if
relevant.

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