Discharge And Home Healthcare Guidelines

Risk for recurrent pulmonary embolism can be reduced by teaching the patient to minimize hypercoagulability, to reduce venous stasis, and to control risk factors such as obesity. Teach the patient to drink 2000 mL of fluid a day unless restricted, to rest between activities, and to avoid overexertion. Teach the patient about the prescribed dosage, route, action, and follow-up laboratory work needed for all medications. If the patient is discharged on potassium-wasting diuretics, encourage a diet that is rich in high-potassium foods, such as apricots, bananas, oranges, and raw vegetables. The patient may also need instruction on a low-sodium diet. If the patient needs home oxygen, instruct the patient and significant others in oxygen use and oxygen safety. Arrange with social services for the delivery of oxygen equipment. If the patient smokes, teach strategies for smoking cessation or provide a referral for smoking cessation programs.

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