POSTPARTAL DISCHARGE INSTRUCTIONS

Medications to continue:
Medication/s - Cefalexin (Canelin)500 mg1 cap TID P.O. x 6 days

- Celecoxib (Coxto) 200 mg 1 cap BID P.O.

- Senna (Senokot Forte) 1 cap OD HS

- Moringa (Feralac) 1 cap BID P.O.

- MV + Iron (Foralivit) 1 cap OD P.O.

Follow-up Visit Follow up 1 week after

and
When to Report Report Immediately, If patient have chills or fever, difficulty or pain when in urinating, or if patient’s urinates frequently with only small
Immediately amounts of urine each time, heavy, bright-red bleeding saturating more than two pads in one hour, fainting episodes, redness or severe
pain in the breast area, pain, tenderness, redness or swelling in patient’s calves or thighs, If an increased amount of pain medication with
time (patient should need less pain medication with time).

Work Do not do heavy housework, mothers/client/patient may go back to work in 4-6 weeks after their follow-up appointment with their
obstetrician.

Patient should drink plenty of fluids and to eat foods from all four of the Basic Food Groups and continue to take personal vitamins and iron
Diet tablets as ordered by the doctor

Rest Frequent rest periods and should try to take naps whenever patient can.

Exercise/s Do not do heavy exercise for two weeks.

Steps for patient to take to prevent infection and to increase comfort after a vaginal delivery.
a. Cleanse the perineal area from front to back each time pt urinate or have a bowel movement. Pt may continue to use the peri-bottle
that she used in the hospital. Apply a clean peri-pad each time pt use the bathroom.
 Hygiene
b. Apply medication to pt perineal area as ordered by the doctor.

c. Enjoy a warm sitz bath several times a day for comfort and to promote healing.
Patient’s body is not ready to resume sexual intercourse again until physically recovered from delivery. No sexual intercourse for 4-6 weeks
Coitus is suggested.
Foam and condoms are safe and easy to use. Birth control methods will be discussed further at your postpartum visit.
Contraception

Reference:

Kent hospital. (n. d.). Your birth preferences. Retrieve December 21, 2020, from https://www.kentri.org/services/pregnanc

DEFINING NURSING SCIENTIFIC NURSING

PLAN OF CARE RATIONALE
CHARACTERISTICS DIAGNOSIS ANALYSIS INTERVENTIONS
Subjective: SHORT TERM: INDEPENDENT
Deficient fluid The nursing After 5 hrs. of nursing  Establish rapport to  It is important to build trust
“Sakit kayo akong volume r/t diagnosis is interventions, the the patient. and relationship to the patient
tiyan” was verbalize antepartum deficient fluid patient will be able to:  Assess the patient’s to understand and
hemorrhage volume r/t – Normovolemic as vital signs. communicate well. It also
by patient
antepartum evidenced by HR 60 to Monitor for possible improves patient care.
hemorrhage 100 beats per minute, sources of fluid loss  To know any deviations from
OBJECTIVE:
since the and normal skin turgor. and patient’s intake normal range.
- Onset of crampy
patient is noted – Explain measures that and output.  Sources of fluid loss may
hypogastric pain
with mucoid can be taken to treat or  Monitor vital signs include diarrhea, vomiting,
radiating to bloody prevent fluid volume after drug wound drainage, severe blood
Lumbosacral discharge, thus, loss. administration. loss. It provides information
area, associated the need for – Describe symptoms  Observe for client’s about overall fluid balance,
with mucoid fluid balance is that indicate the need to mucous membranes, renal function, and bowel
bloody discharge a priority consult with health care decreased skin turgor disease control, as well as
noted and provider. and look for signs of guidelines for fluid
persistence of Long term dehydration. replacement.
symptoms After nursing  Change the position  Establish baseline data and
interventions , patient of the patient note changes if adverse
OE: will be able to: frequently, if reactions occur.
Awake, afebrile, - maintain hydration necessary.  Indicates excessive fluid loss
NRD -Apply alertness and  Emphasize the or resultant of dehydration.
VS: BP: 110/70 self- monitoring if relevance of  Turning positions reduces
mmHg bleeding persists after maintaining proper pressure on fragile skin and
HR: 104 bpm discharge nutrition and tissues.
RR: 21 cpm Reference: hydration to the  Increasing the patient’s
Temp: 36.2°C Doenges,M.,Mo patient. knowledge level will assist in
O2 Sat: 98% orhouse,M.,Mur preventing and managing the
Weight: 109lbs r,A. COLLABORATIVE fluid volume loss.
Abdomen: (2013).Nurse’s  Administer  Restore and rule out any
FH: 28cm pocket guide appropriate underlying conditions
EFW: 2680 g (13th edition medications  Fluids may be given in this
FHT: 135 bpm ).J.P. DaCunha. mandated by manner if client is unable to
IE: 6 cm, 90% eff., physician’s orders. take oral fluids.
St-2, IBOW,  Provide supplemental
Cephalic IV fluids as indicated Reference:
A: G1P0, PU, 38 ¹/₇ by physician’s orders. Doenges,M.,Moorhouse,M.,Murr
,A. (2013).Nurse’s pocket guide
Reference: (13th edition ).J.P. DaCunha.
Doenges,M.,Moorhouse,
M.,Murr,A.
(2013).Nurse’s pocket
guide (13th edition
).J.P. DaCunha.