DIET

Estimated totals: 1600 calories, 60 grams protein, 1500 mg sodium, 2300 mg

potassium, 800 mg phosphorus.
MEALS
BREAKFAST

SAMPLE MENU PLAN

1 Slice bread (Wheat bread)
Banana
2 Table spoon low-fat mayonnaise
2 slices egg
1 cup white rice
100 ounce Chicken breast
1 cup raw vegetables
1 apple
1 Slice bread or crackers
3 ounce steamed chicken
1 glass of orange juice
1 steamed tilapia
1 cup of rice
1 cup raw of vegetables
3 pieces of orange

LUNCH

MID-AFTERNOON SNACKS
DINNER

TREATMENT
PROCEDURES
Complete Blood Count (CBC) The

NURSING RESPONSIBILITIES

Explain test procedure. Explain

findings in the CBC give valuable

that slight discomfort may be felt

diagnostic information about the

when the skin is punctured.

hematologic and other body systems,

prognosis, response to treatment, and

Encourage to avoid stress if

possible because altered

recovery.

physiologic status influences and

changes normal hematologic
values.

Explain that fasting is not

necessary. However, fatty meals
may alter some test results as a
result of lipidemia.

Apply manual pressure and

dressings over puncture site on
removal of dinner.

Monitor the puncture site for

oozing or hematoma formation.

2- Dimensional Echocardiography (2DEcho) This technique is used to "see" the

actual motion of the heart structures. A 2D echo view appears cone-shaped on the

Establish a low flow of oxygen by

nasal cannula.
Initiate continuous oxygen
saturation monitoring.

monitor, and the real-time motion of the

heart's structures can be observed

Abdominal X-Ray is an imaging test to

look at organs and structures in the belly
area. Organs include the spleen,
stomach, and intestines.

Alanine Aminotransferase or Serum

glutamic pyruvic transaminase (SGPT)

To assess liver function related to liver
disease and/or damage.

Computerized tomography
(CT) scan combines a series of X-ray
images taken from different angles and
uses computer processing to create
cross-sectional images, or slices, of the
bones, blood vessels and soft tissues
inside your body.

Assist the patient in a recumbent

left lateral position.
Assist in positioning patient's head
in fixed position if needed.
Keep patient comfortable and
warm.
Inform patient this procedure can
assist in assessing abdominal
abnormalities
Instruct patient to remove jewelries
and other metallic objects.
Note that there are no food or fluid
restrictions.
Avoid the use of equipment
containing latex if the patient has a
history of allergic reaction to latex.
Instruct the patient to cooperate
fully and to follow directions. Direct the
patient to breathe normally and to
avoid unnecessary movement.

Ensure a signed consent form.

Check hospital policy on withholding
food and fluids. Clients are usually on
NPO status (except for the medications
ordered as part of the test) for 8 hours
before the test if it is done in the morning.
If the test is done in the afternoon, the
client may have a liquid breakfast.
Give medications up to 2 hours before
test.
Assess for possible reaction to iodine
dye (by asking about allergy to seafood).
Document any allergy and inform the
physician and radiology department.
Remove metal hairpins, clips, and
earrings.

CHAPTER V
METHOD
M- Trimetazine 35mg per tab
Vitamin b complex 1 tab daily
Epoetin 250 mg /tab daily
Levofloxacin 250mg tablet daily
Hydrocortisone 150mg at 2,4,6 hourly
E.- Passive/Active ROM (for promotion of circulation)
Regular Exercise
Flex Both feet with edema Frequently
T- Hemodialysis with 4 exchanges during MWF with 8 hours session.
H- Have the patient enough rest and stay
Limit fluid intake (use Medicine dropper when drinking)
Monitor Urine Output

Apply hot compress to lessen the edema

Ambulation and Elevation of the affected side
O- Be back on October 8, 2015 (Thursday) 8am-12pm at Ospital ng Muntinlupa;
Nephrologist)
D- Increase intake of potassium, decrease consumption of sodium
MEAL #1
BREAKFAST
LUNCH
MID-AFTERNOON SNACKS
DINNER

MEAL #2
BREAKFAST
LUNCH
MID-AFTERNOON SNACKS
DINNER

MEAL #3
BREAKFAST
LUNCH
MID-AFTERNOON SNACKS
DINNER

SAMPLE MENU PLAN

Slice bread (Wheat bread)
Banana
Cup brown rice
Chicken breast
Apple
Slice bread or Crackers
Steamed chicken
Glass of orange juice
Steamed tilapia
Cup of rice
Orange
SAMPLE MENU PLAN
Crackers
Water
Apple
Tilapia (steamed)
Brown rice
Oats
Unsweetened mango juice
Brown rice
Chopseuy (no oil and salt)
Sliced orange
SAMPLE MENU PLAN
Cereal
Wheat bread
Water
Brown rice
Sinigang na baboy (no fat)
Water
Watermelon (2 slices)
Brown rice
Steamed carrots
Chicken breast