DISCHARGE PLANNING
METHODS RATIONALE
MEDICATION
Remind the patient or the guardian to Medicines such as dopamine, dobutamine,
take the medication of the patient as epinephrine, and norepinephrine may be
exactly as the physician told. needed to increase blood pressure and
the amount of blood pumped out of the
heart (cardiac output). Taking the
prescribed drugs decreases the morbidity
and prevents further complications. Also,
this will ensure promotion of healing.
EXERCISE/ ENVIRONMENT
Instruct the patient and the caregiver not In order to regain energy slowly and to
to resume full activities until all clinical fully recover from being admitted.
symptoms and laboratory values have
returned to normal.
Instruct the patient or the caregiver to let This is to avoid orthostatic hypotension
the patient sleep with the head of the and promote blood circulation.
bed slightly being elevated.
Instruct the family of the patient to
Hemorrhagic shock can result in an acute
reduce unnecessary external stimuli by life-threatening situation that will produce
maintaining a quite environment. high levels of anxiety. And anxiety may
rise with excessive conversation
and noise surrounding the client.
Encourage the client to verbalized his or Talking about anxiety-producing situations
her feelings, as well as educate the and anxious feelings can help the client
family members to help the patient by perceive the situation in a less threatening
merely willingly listen to the patient manner.
Encourage the patient to have adequate Having adequate rest helps in maintaining
rest. the normal function of the system of the
body. This will improve the quality of life in
the long run.
TREATMENT
Discuss the current health status of the Ensuring the care, proper management,
patient to the family. and precautions that they will provide after
discharge.
Offer the patient and their family It is essential that the disease process be
education on Hemorrhagic shock explained to the patient and their family in
a culturally appropriate way so that they
are aware of the symptoms that they might
experience in relation to this disease. Also,
in order to treat it early to prevent it from
developing to severe complications.
HYGIENE
Instruct the patient or the guardian to Basic cleanliness will ensure prevention
keep the surroundings clean and from any kind of bacterial infection that
maintain proper sanitary conditions. may lead to aggregation of the condition
and also lead to further complications.
Instruct the patient if happens to have an People with Hemorrhagic shock may
injury, make sure to clean the skin develop gangrene due to reduced
thoroughly and to cover the wound with a circulation to the limbs. This infection may
bandage. lead to amputation of the affected limbs.
The greatest way to prevent gangrene is
to practice proper hygiene, by cleansing
the affected site thoroughly.
OUTPATIENT REFERRAL
Encourage the patient and guardian to This is to avoid misunderstanding the
ask questions and any clarifications. orders made by the physician.
All patients should receive regular review The frequency and duration of review is
and outpatient follow-up initiated prior to dependent on the individual clinical needs
discharge. and local capacity and should become
more frequent in the event of symptom
onset, symptomatic deterioration or a
change in clinical findings mild and
moderate cases are followed up by
internal medicine services.
DIET
Encourage the patient to eat foods that Shock is an extreme form of hypotension
are rich with salt, or sodium. in which blood pressure drops to
dangerously low levels. Salt, or sodium
Ways to do this include:
affects hormones that control the body’s
adding a pinch of salt to a glass of water balance. High salt intake can
water increase blood pressure. People who have
seasoning food with salt low blood pressure may benefit from
eating salty foods, such as olives increasing their salt intake.
or anchovies
choosing salted nuts as a snack
Encourage the patient to increase fluid Hemorrhage shock is associated with
intake deficiency in fluid volume. Fluids lost from
diarrhea or vomiting should be replaced
immediately. A person’s blood pressure
can drop if they become dehydrated. It is
essential to maintain adequate fluid levels
by drinking water and other drinks. Older
people can become dehydrated more
quickly, and caregivers may need to
remind them to drink regularly.
Avoid or limit alcohol intake Orthostatic hypotension is one of the
indicators of having Hemorrhagic shock.
Consumption of alcohol can worsen
orthostatic hypotension.
