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Discharge plan (M.E.T.H.O.D.):

Medication

Instruct client to continue take her prescribed medicationsOrient the client about the name of drugs, their actions, the exactdosage, the frequencyand the route of administration.

Instruct client to follow the instruction when administering medication.Advice the significant others not to leave the client during medicationExplain to the client the side effects and adverse effects of the drugsshe takes byprescribing its manifestations.

Advice client not to stop intake of prescribed medications, unlessapproved by thephysician.

Exercise

Instruct client to balance activities with adequate rest periods.Educate client on proper body mechanics to prevent muscle strain andenable client torelax.

Encourage client to ambulate and assume normal

Encourage deep breathing exercise sTreatment

Educate client the importance of drug compliance.Discuss to the client the complication of the condition becauseknowledge about thecondition supports learning that will decrease deficit and anxiety

To promote healing, eat a balanced diet rich in fresh fruits andvegetables.Hygiene

Keep your incision sites clean and dry.Do not douche or put anything in your vagina, such as a tampon, until

your doctortells you otherwise.

Encourage client to do daily hygieneEncourage client to ask assistance if neededOutpatient orders

Call the doctor if any of the following occurs:

Develop a fever.Become dizzy and faint.Experience nausea and vomiting.

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Become short of breath.Have heavy bleeding.Have leakage from the incision or the incision opens up.Have pain when you urinate.Have swelling, redness, or pain in your leg.Have questions about the procedure or its result.Diet

To promote healing, eat a balanced diet rich in fresh fruits andvegetables. Depending onhow much blood loss occurred during surgery, you may require a dailyiron supplement.

Eat foods that are rich in carbohydrates and protein. Sufficient intake of fluids.Eat high-fiber foods, drink plenty of water, and if necessary, use stoolsofteners.Instruct client to eat foods that are high in protein and vitamins andminerals.Spirituality

Instruct client to pray and seek for the lords guidance.HEALTH TEACHING

Inform the patient about the importance of complying with theprescribed medication.Emphasize the proper dosage of the medications taken.Educate the client about the importance of proper nutrition.Encourage the client to have the prescribed diet for his condition.Encourage the patient to drink plenty of water and avoid beingdehydrated.Rest and relax. No heavy lifting, strenuous exercise, sex, tampons or

douching.The patient should not have intercourse or drive until postpartum check.Encourage the patient to love and take good care of self.Avoid or quit smoking. Quitting smoking will improve health and thehealth of those around you.

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Result

NormalValues

Diagnostic/LaboratoryProcedur

Diagnosti

ec/Laborator

Lymphocyt

y

es

Procedure

1.CBC

HgBMonocytes

Hct

Plateletcount

2.WBCC

Leukoytes

Bleedingtime

NeutrophilsClottingtime

Segmenter

Prothrombin

Date

Indicationordered/re

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purposessult in

Date

Indicationordered/re

purposessult in

09/07/11

Determines anychronic bacterialinfection or viralinfection

09/07/1109/07/11

09/07/1109/07/11

09/07/1109/07/11

09/07/11

09/07/1109/07/11

09/07/11

Pre-operationassessment of the

patient.

Determines anyacute bacterialinfection

Pre-operationassessment of thepatient.

Used to measureplatelet count toassess formalfunction ofclotting reflex

Determines anyinflammation orinfection

Determines

Determines any

bleeding time

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acute bacterialInfection

To asses for anyinfection or

Determines

inflammation

Clotting time

Measures ofthe extrinsic

pathway of coagulation. To determinethe clottingtendency of blood,in the measureof warfarin dosage,

11.9

gm/dl0.07

0.35232x109/L

12.1

300

-

0.82

430

011.1

1216gm/dl

0.02-0.05

0.37-0.47

150 450x109/L

4-11 x

10^9/L030900

-

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400

1500

0.50 0.70

11016

Analysisandinterpretation

Analysisandinterpretat

There is an

ion

increased

count of

lymphocytes

, whichthere is

indicatesdecrease in

inflammatiohemoglobin,

n orindication

infectionfor diseaseThere is anincreasedcount ofResult is

monocytes,within

whichnormal

indicatesrange,

inflammatioindication of

n oroptimal

infectionhealth

Result waswithin

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normal levelno indication

Has

ofincreased

malfunctionWBC

of clottingindication of

reflexinfection or

inflammatio

n.Result waswithinnormal levelno indication-

of

malfunction

of clotting

reflexThere is anincreasedcount ofsegmenter ,

Result wassswhich

withinindicates

normal levelinflammatio

no indicationn or

ofinfection

malfunctionof clottingreflex

Result Normal

Values0.11 0.2-0.4

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Clinical

microscopy(macroscopy)

Color

TransparencySugar

Protein

pH

Frequency test

Clinicalmicroscopy(microscopic)

WBC

RBC

Epithelial

Clinicalmicroscopy(microscopic)

Amorphousurates /

Phosphates

Bacteria

Result

Yellow

Slightly turbid(-)

(-)

5.0

(-) specimen used fortest : serum

2-4/HPF

0.2/HPF

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few

FewFew

Purpose

To know thehydroxygenation ofthe urine

To know thetransparancy

To know if thepatient has sugar inurine

To assess forproteinuria

To assess the pHbalance of thepatients body

To know if thepatient is pregnant

To assess forbacterial infection

To assess forhematuria

To know if there isinfection in theurinary tract

To assess if thepatient may developcrystals

To identify anybacteria in the

Evaluation

Normal urineoutput color, noindication ofinflammation or

infection

Normaltransparency

The patient has(-) result. Noglucose in theurine

The patientskidney iffunctioning well

Acidic urine is

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normal afterdelivery

The patient is(-)pregnant

It is withinnormal range,indication of noserious infection

The patient hasblood in hisurine, indicationfor infection

Few cells werefound which isnormal

Has little chanceof formingcrystals

Has few, a goodindication of

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09/07/2011

Indication Result Range Result Range EvaluationTo evaluatekidneyfunction ormonitor the Normaleffectiveness results,BUN of dialysis and other 5.0 2.5 6.4 14.01 7 18.0 indication ofnormaltreatments function ofrelatedto kidneydisease orthe kidneydamageused to helpdiagnose thecause of Normalrecurrent results,

Uric acid kidney stonesand to 354 1554285.94 2.6-7.2 indication ofnormalmonitor function ofpeople withgout for stoneformation.the kidneyNormalCreatinineassess kidney

function. 89 53-115 1.01 0.06-1.3results,indication ofnormalfunction ofthe kidneyAST(SGOT)aspartateaminotransferase (AST) toassess theliver function

31 15-37 31 15-37Normalresults,indication ofnormalfunction ofthe liverLDH Lactate 272 81-234 272 81-234 Has abovedehydrogenase is used to

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normal result,indication ofassess celluar .cellrespiration perfusion of

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glucose glucose09/05/2011

Indication Result Referrencerange EvaluationGlycohemoglobin(HbA1c, A1c)To assesstheamount ofglucosebound to ahemoglobin6.8% 4.2-6.1%Result is high,indication of diabetesmellitus

Nursing Responsibilities During Different Laboratory Procedures

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White Blood Cell Count

Before

Explain to the patient that the WBC test is used to detect an infection or inflammation.Tell the patient that the test requires a blood sample. Explain who will performthevenipuncture and when.Explain to the patient that he may experience slight discomfort from the needlepunctureand the tourniquet.Inform the patient that he should avoid strenuous exercise for 24 hours before the test.Also tell him that he should avoid eating a heavy meal before the test.If the patient is being treated for an infection, advise him that this test willbe repeated tomonitor his progress.

Notify the laboratory and physician of medications the patient is taking that may affecttest results: they may need to be restricted.During

Ensure subdermal bleeding has stopped before removing pressure.After

If a hematoma develops at the venipuncture site, apply warm soaks. If the hematoma is

large, monitor pulses distal the venipuncture site.

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Inform the patient that he may resume his usual diet, activity and medicationsdiscontinued before the test, as ordered.A patient with severe leucopenia, they have little or no resistance to infectionandrequires protective isolation.Red Blood Cell Count

Before

Explain to the patient that RBC count is used to evaluate the number of RBCs andtodetect possible blood disorders.Tell the patient that the test requires a blood sample. Explain who will performthevenipuncture and when.Explain to the patient that he may experience slight discomfort from the needlepunctureand the tourniquet.

Inform the patients that he need not restrict foods and fluidsDuring

Ensure subdermal bleeding has stopped before removing pressure.After

If a hematoma develops at the venipuncture site, apply warm soaks.

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Hemoglobin

Before

Explain to the patient that the hbg test is used to detect anemia or polycythemia or toassess his response to treatment.Tell the patient that the test requires a blood sample. Explain who will performthevenipuncture and when.Explain to the patient that he may experience slight discomfort from the needlepunctureand the tourniquet.

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During

Ensure subdermal bleeding has stopped before removing pressure.After

If a hematoma develops at the venipuncture site, apply warm soaks.Hematocrit

Before

Explain to the patient that hct is tested to detect anemia and other abnormal conditionsTell the patient that the test requires a blood sample. Explain who will performthevenipuncture and when.Explain to the patient that he may experience slight discomfort from the needlepunctureand the tourniquet.

Inform the patients that he need not restrict foods and fluidsDuring

Ensure subdermal bleeding has stopped before removing pressure.After

If a hematoma develops at the venipuncture site, apply warm soaks.

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