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ANEMIA

RECOMMENDATION:
MEDICATIONS

 Advise the patient to take Iron or folic acid supplements help increase their red blood cell
and hemoglobin levels.

 Tell the patient and patient’s family to take your medicine as directed.
 Amlodipine besylate (Norvasc): 5 mg/day
 Calcium carbonate (OsCal) with vitamin D twice daily
 Polyethylene glycol powder (Miralax): 17 g in 8 oz liquid daily
 Furosemide (Lasix): 40 mg/day
 Escitalopram (Lexapro): 20 mg/day
 Prednisone: 10 mg/day
 Omeprazole (Prilosec): 20 mg/day
 Cinacalcet (Sensipar): 30 mg/day
 Simvastatin (Zocor): 20 mg at bedtime
 Tiotropium oral inhalation (Spiriva): 1 cap per inhalation device daily
 Vitamin B12: 1,000 mcg twice daily
 Enteric-coated aspirin: 81 g/day
 Explain to patient and patient’s family about the names and purpose of each of their
medicines
 Advice the patient’s family to keep an accurate medicine list and current dosages with
them at all times.
 Explained to patient and patient’s family about the possible side effects of drugs and
managed them to report any side effects to the nursing staff.

EXERCISE

 Assist the patient in prioritizing activities and establishing balance between activity and
rest that would be acceptable to the patient.
 Try to do light exercise every day. Avoid heavy exercise or activity.
 Instructed the patient to exercise should be done regularly to gain the benefits.
ANEMIA
 Advise the patient to try to exercise at the same time every day to establish a habit and to
minimize any variables that may impact their exercise.

TREATMENTS and MANAGEMENT

 Encourage the patient to make time for activities that help them relax (meditation,
reading, talking with friends, listening to music).
 Discussed to patient's family, to encourage the patient to have enough sleep and rest.
 Discussed to patient's family, what foods are good for the patient. The patient will feel
better with healthy food in her body. 
 Discussed to patient's family, to encourage/accompany the patient to go for a walk, do
light exercise, and save their energy for the things that are most important to them.
 Encourage the patient that don't be afraid to ask for help when they need it.

HEALTH TEACHING

 Reminded the patient's family that the patient must always eat healthy meals and the
suggested food which is foods that rich in iron.
 Remind the patient’s family to avoid injuries that might cause bleeding or bruising. Keep
their home as safe as possible.
 Reminded the patient's family to encourage the patient to take adequate rest and to have
enough hours of sleep.
 Educate the patient’s family about the importance of planning a day that include rest
periods. Don't try to over-schedule patient.

OUT-PATIENT

 Instructed the patient's family that patient should follow the schedule of follow check-up
when discharged.
 Instructed the patient’s family to strictly follow the prescriptions that are given to them.
ANEMIA
DIET/NUTRITION

 Discussed to patient's mother/sister to encourage the patient to drink plenty of water to

keep the patient's body well hydrated.

 Discussed to patient and the patient's mother/sister the importance of eating the healthy

foods for the patient.

 Eat a healthy diet with lots of iron-rich foods (like beef, liver, canned salmon, dried fruits
and fortified cereals).

 Encourage the patient to avoid tea, coffee, foods that contain oxalic acid, such as peanuts,
parsley, and chocolate.

SPIRITUAL

 Discussed to patient and patient's companion to approach the staff, whenever the patient,
need anything or has any problems. 
 Discussed to patient's family to encourage the patient to pray regularly and maintain her
faith.

REFERENCES:

 Anemia (discharge care) - what you need to know. Drugs.com. (n.d.). Retrieved
September 30, 2021, from https://www.drugs.com/cg/anemia-discharge-care.html.
 Belleza, R. M. N. (2021, July 17). Anemia. Nurseslabs. https://nurseslabs.com/anemia/

 Cadman, B. (2021, July 8). Foods and meal plans for iron deficiency.

MedicalNewsToday. https://www.medicalnewstoday.com/articles/322336

 Fairview Health Services. (2019). Coping with Anemia (Low Red Blood Cells). Fairview.

https://www.fairview.org/PatientEducation/Articles/English/c/o/p/i/n/Coping_with_Anem

ia_Low_Red_Blood_Cells_520523

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