SUMMARY OF MEDICATIONS

DATE MEDICATION DOSAGE ROUTE FREQUENCY REMARKS

09/06/10 Ciprofloxacin 500mg Per orem (PO) BID Given and tolerated

09/18/10 Clindamycin 30mg IVTT QID Given and tolerated

SUMMARY OF INTRAVENOUS FLUIDS

DATE IV FLUID & VOLUME DROP RATE TIME STARTED TIME ENDED INDICATIONS

1
 08/24/10 PNSS 1L 20gtts/min 2pm (12.5hrs) 2:30 AM

DISCHARGE PLAN

Patient’s Name: Date of Discharge: ___________________________

Condition upon Discharge: _____________________________________ Nature: Home per request ( ) Discharge Against Medical Advice ( )

• Instruct patient take the home medications by the doctor, by the right time, dose, rout and frequency.
1. Medication
• Give health teaching about the drug

• Encourage patient to perform exercise everyday for at least 30 mins in a day.

2. Exercise
• Perform ROM exercises specially in the left arm

• Instruct patient to eat nutritious food such as vegetables and fruits.

3. Diet
• Instruct patient to drink at least 8 glasses of water per day

• Instruct patient to maintain proper hygiene by taking a bath regularly.

4. Health Teaching
• Instruct patient to perform oral care after meal
 • Instruct patient to visit the next schedule (Sept. 30, 2010 at 8:00 AM).
5. Schedule for Next Visit • Instruct patient to visit physician if symptoms or condition is not relieved through home medication or
management.
• Encourage patient to attend masses regularly during Sunday’s and pray everyday.
6. Spiritual • Encourage patient to join religious groups or minority groups that are connected to his religion

• Encourage patient to have a healthy lifestyle manifested by having a clean environment, proper
7. Lifestyle nutrition and adequate rest.
• Encourage patient to remove hazardous materials in the environment and to always be careful
• Refer to the nearest hospital or clinic if symptoms or conditions persist.
8. Referral