c






c



Citicholine 1g IV BID
Losartan 100mg 1tablet OD
Ranitidine 150g 1tablet BID
Lactulose 30mL OD @ HS
Isosorbide mononitrate 60mg ½ tablet OD
Simvastatin 40mg 1tablet OD
Acetylcysteine 600mg 1tablet OD
Ampicillin Sulbactan 1.5g IV q8 hrs ANST
Myrin P Forte 2tablets OD
Clonidine 75mg 1tablet q6 hrs for BP equal to or greater than 150/90 mmHg

  

 ʹ to replace fluid and electrolyte losses and maintain balance





 


 !"#$#%& (Thrombocyte Number Fraction) ʹ to assess client͛s bleeding risk

#'#(()" - to detect and evaluate mild to severe heart injury, and to distinguish
chest pain that may be due to other causes
$## )"& - to measure the chemical components of the blood plasma


 





!#" (!""# & - opening of the carotid artery to remove obstructing &
embolizing plaque
*!$(%#'$!)"& - a balloon catheter is threaded to the arterial system via femoral
artery to the area of carotid stenosis


 
! : F.M.
%: 75
: Female
)): Zone 2, Sooc Arevalo, Iloilo City

!%(#)): CVD bleed vs Infarct Right FTP, HCVD, PTB III

+(!$*,"-.

To provide continuity of care to the client at home in the absence of a physician or a

healthcare provider.

+'/*,"-).

Client/folks will be able to:

a.p ›ain basic knowledge regarding the disease, it͛s causes and effects
b.p Practice proper hygiene and sanitation
c.p Receive adequate vitamin and mineral supplementation
d.p State the importance of proper care for her recovery
e.p Establish regular follow-up check-up to evaluate progress of condition

+!$"!(%)

A.p Xnowledge of the Disease

CVD bleed is a cardiovascular disorder where occurs when a blood vessel

ruptures and bleeds into surrounding tissue. Infarction is a blockage of a vessel in
the part of a brain which causes decrease supply of oxygen to the brain. The factors
which trigger this condition are smoking, high cholesterol intake, alcoholism and
aging.
Pulmonary tuberculosis (TB) is a contagious bacterial infection that mainly
involves the lungs, but may spread to other organs. You can get TB by breathing in
air droplets from a cough or sneeze of an infected person. Risk factors include Are in
frequent contact with people who have the disease, have poor nutrition, and living
in crowded or unsanitary living conditions.

B.p Proper Hygiene / Sanitation

Wash and dispose properly all the articles came in contact with the client.
Sterilize it if possible. Wash hands properly especially before and after eating. Take
a bath daily. Wear clean and gentle clothing. Observe proper cares such as of
mouth, eyes and ears. Xeep environment clean. Provide adequate ventilation. All of
these practices could help prevent spread of further infection.

C.p Nutrition

Acquire adequate nutrition, through observing proper diet, eat complete 3 meals
a day. Avoid high salt, high sodium intake. Have at least 8-10 glasses of fluids daily.
Have a vitamin and mineral supplementation.

D.p Medication

Take Losartan 100mg 1tablet OD, Ranitidine 150g 1tablet twice daily, Lactulose
30mL OD @ hours of sleep, Isosorbide mononitrate 60mg ½ tablet once daily,
Simvastatin 40mg 1tablet once daily, Acetylcysteine 600mg 1tablet once daily
dissolve in half glass of water, Myrin P Forte 2tablets once daily, Clonidine 75mg
1tablet every 6 hours. Don͛t skip doses, and continue taking as indicated by the
physician.

E.p Follow-up Check-up

Establish regular check-up, and have a consultation 1 week after discharge, to

assess for further progress or complication.
 

0
 

A.p  c0 ( Thrombocyte Number Fraction )

-p To assess client͛s bleeding tendencies

!"("1)
)$" # !$ !$ %(/!(
350 x 109 / L 150 ʹ 350 x 109 / L NORMAL, Unremarkable

B.p #'#(()"

 - to detect and evaluate mild to severe heart injury, and to distinguish
chest pain that may be due to other causes

!"("1)
)$" # !$ !$ %(/!(
Indicates that the patient has
0.06 ug / L 0.01 ug / L had a heart attack or some
other form of damage to the
heart

C.p $## )"&

 - to measure the chemical components of the blood plasma

)"! 
)$"
/+("-!$ (") %(/!(
›lucose 6.57 HI 3.90 ʹ 6.10 mmol / L INCREASED, indicates
hyperglycemia
Uric Acid 272. 46 155.0-428.0 mmol / L NORMAL, Unremarkable

Cholesterol 6.77 HI 1.30 ʹ 5.20 mmol / L INCREASED, indicates

high risk for the
recurrence of heart
attack
Triglycerides 1.23 0.17 ʹ 1.70 mmol / L NORMAL, Unremarkable

Bld Urea 5.08 2.50 ʹ 6.40 mmol / L NORMAL, Unremarkable

Nitrogen