DISCHARGE PLAN DRUG/S INDICATION/S DOSAGE ROUTE FREQUENCY Salbutamol symptomatic relief and prevention of bronchospasm 1 neb Inhalation q2 reduces fever and treat mild to moderate pain 5 ml P.O q4 PRN fever Medication/s Paracetamol Exercise Therapy Health Teachings OPD Visit ● Type of activities allowed/ to be continued: Minor activities that promote gas exchange and lung expansion. Passive ROM ● Restrictions: Advise SO to prevent the patient from doing strenuous activities and overworked. ● ● ● ● ● ● ● ● ● ● ● ● ● Elevate head of bed, and change position frequently. Do not put pillows in the bed of a child younger than 1 year old. Take child's temperature q4 or at least 1 time each morning and 1 time each evening Don’t give aspirin and NSAIDs, child could develop Reye syndrome If a patient has trouble breathing through his or her nose, use a bulb syringe to remove mucus. Use a cool mist humidifier to increase air moisture in your home Instruct to observe proper hygiene such as bathing daily to keep from infection Instruct to keep the patient always clean and dry Instruct to do hand washing before and after contact with patient Instruct to avoid sharing of utensils, and plates with patient Instruct not to take the patient to crowded places to prevent risk of having infection Instruct to give medications at the right route, dose and time Educate SO about the proper use of nebulizer Remind to always assess patient needs Observe carefully for recurrence of signs and symptoms Contact healthcare provider or return IMMEDIATELY to the clinic or emergency department if any of the following warning signs appear: ● fever ● chills Patient’s Name / Room No. | 1 ● ● ● ● ● ● ● ● ● cough unusual rapid breathing breathing with grunting or wheezing sounds labored breathing vomiting chest pain abdominal pain loss of appetite or poor feeding in extreme cases, bluish or gray color of the lips and fingernails Instruct SO to have a follow up check-up at attending physicians clinic one week after discharge for further evaluation of the patient’s condition and to schedule for immunizations that were not completed. Diet ● Encourage to breastfeed child smaller amounts more often ● Encourage oral liquids as directed. ● Advice to follow the right Vitamin C and multivitamin supplements to be taken Advise family members to continue providing a therapeutic environment to the patient. Spiritual Lifestyle Referral Encourage to continue praying to God and attend mass every Sundays and other days ● Encourage to have a good sleeping time and adequate nutrition ● Keep environmental pollution to a minimum like dust, smoke and feather pillows, according to individual situation ● Encourage the family to continue the routinely hygienic care of the patient ensuring that all people coming in contact with the patient washed their hands well before touching the patient. ● Maintain neutral thermal environment ● Instruct to follow up with the referral practice if problems such as not responding to current antibiotic therapy or aggravation of signs and symptoms or refer to a pulmonary specialist. Patient’s Name / Room No. | 2 References: Paracetamol Tablet. (n.d.). Retrieved March 12, 2021, from WebMD: https://www.webmd.com/drugs/2/drug-57595/paracetamol-oral/details Pneumonia in Children. (n.d.). Drugs.Com. Retrieved March 12, 2021, from https://www.drugs.com/cg/pneumonia-in-children-aftercareinstructions.html#:~:text=Your%20child’s%20healthcare%20provider%20may,and%20pudding%20are%20good%20choices. Salbutamol. (n.d.). MIMS. Retrieved March 12, 2021, from https://www.mims.com/philippines/drug/info/salbutamol?mtype=generic Patient’s Name / Room No. | 3
