Submitted by:

Abayon, Gretcin
Abogado, Kayne Iris
Baldwin, Kimberly
Benitez, Rosevie
Colegio de San Antonio de Padua Bolocano, Jieah Mae
De La Salle Supervised School Branzuela, Meriam
Candado, Dianne Dawn
College of Nursing Candano, Sweet Jenneth
Canga, Joanne
Cruz, Mill Jan
CASE PRESENTATION:
BSN- II

NEONATAL Submitted to:

SEPSIS Mrs. Monette Cañete

RN, M.A.N. TM1
VISION
STATEMENT
CSAP is the premier professional institute of choice in Northern
Cebu, known for its high academic, technical and vocational
standards that ensure graduates’ success in competency-
based economy.

MISSION
STATEMENT

To produce well- rounded graduates through effective

instruction and supportive leaning environment that promote
character formation, academic excellence, research skill
development and community service to make them useful
members of their family, the community, the country and the
world.
VISION
STATEMENT

The Colegio de San Antonio de Padua, College pf Nursing and

Diploma in Midwifery envisions to uphold the Institutional
mission to prepare nursing and midwifery students for global
competitiveness and to provide holistic care in order to develop
the full potential of a MAN.

MISSION
STATEMENT

It commits to produce globally competent Nurses and

Midwives, capable of providing holistic care,
grounded on the core values of the college in order to
meet the demands of changing environment of health
 TABLE OF CONTENTS
I. Acknowledgement.............................................................................................................5
II. Introduction.................................................................................................................... 6
III. Objectives........................................................................................................................7
IV. Anatomy and Physiology ……………………………………………… …………………... 8
V. Psychosocial Profile ………………………………………………………………………….. 13
▪ Patient’s Profile………………………………………………………………………………. 14
▪ Demographical Data ………………………………………………………………………. .15
▪ Genogram ……………………………………………………………………………………. 16
▪ Growth and Development……………………………………………………………………..17
VI. Pathophysiology ........................................................................................................ ..19
VII. Physical Assessment................................................................................................. 20
VIII. Gordons Functional Pattern …………………………………………………………… 22
IX. Laboratory Results …………………………………………………………………………. 25
X. Nursing Care Plan …………………………………………………………………………… 27
XI. Drug Study …………………………………………………………………………………… 30
XII. Discharge Plan ………………………………………………………………………………33
 Acknowledgement
Entering the world of nursing, one of the skills a nursing student must posses is the skill in formulating case
study. Making case study for the first time is not all easy. However, everything has an end and we are thankful
that we are able to finish this case study. This won’t be possible without the support or help of the following:

First of all, we would like to thank Almighty God for the opportunity to widen our knowledge and for providing
us with everything that we need as well as for the healthy mind and soul as we get through this journey.

We would also like to thank Dr. Herminia O. Fernandez for allowing us to have our case study and for letting us
to do what we need to do as well as to our patient who never think for a second in providing us with the
informations needed in the completion of this case study.

To Mrs. Monette Cañete, for allowing us to experience and for providing us with knowledge on how to make the
case study well as for giving us an idea that made this task possible.
Lastly, we need extend our gratitude to our friends family or love ones who are continuously support us with
everything not just financially but as well as emotionally.

TO GOD TO BE THE GLORY!

 INTRODUCTION
NEONATAL SEPSIS is a systemic infection occurring in infants at less to equal to 28 days of
life and is an important cause of morbidity and mortality of newborns.
1. Early-onset neonatal sepsis has been variably defined based on the age of onset, with
bacteremia/ bacterial meningitis occurring at less to equal 72 h in infants hospitalized in
the NICU, vs. <7 days in term infants.
2-4. In preterm infants, EOS is most consistently defined as occurring in the first 3days of
life and is caused by bacterial pathogens transmitted vertically from mother to infant
before or during delivery.
3. Late-onset sepsis (LOS) is sepsis occurring after 72 h in NICU infants and 7 days of life in
term infants, has been variably defined as occurring up to the age of <90 or 120 days, and
maybe caused by vertically or horizontally acquired pathogens.
2,3,5- 7. Early-onset neonatal infections of viral or fungal etiology may also occur at >7
days of life and must be distinguished from bacterial sepsis.
(Neonatal Sepsis is a blood infection that occurs in an infant younger than 90 days old.
Early-onset sepsis is seen in the first week of life. Late-onset sepsis occurs after 1week
through 3months of age.)
 Specific
Objectives

In this case study, We will be able to:

● Determine possible genetic problem to newborn

● Explain the pathophysiology of neonatal sepsis
● Formulate nursing care plan for Newborn
 Gross Anatomy of the Lungs

– The lungs are pyramid-shaped, paired organs that

are connected to the trachea by the right and left
bronchi; on the inferior surface, the lungs are
bordered by the diaphragm. The diaphragm is the
flat, dome-shaped muscle located at the base of the
lungs and thoracic cavity. The lungs are enclosed by
the pleurae, which are attached to the mediastinum.
The right lung is shorter and wider than the left lung,
and the left lung occupies a smaller volume than the
right. The cardiac notch is an indentation on the
surface of the left lung, and it allows space for the
heart. The apex of the lung is the superior region,
whereas the base is the opposite region near the
diaphragm. The costal surface of the lung borders
 GROSS ANATOMY
OF THE LUNGS

– Each lung is composed of smaller units called lobes. Fissures separate these
lobes from each other. The right lung consists of three lobes: the superior,
middle, and inferior lobes. The left lung consists of two lobes: the superior and
inferior lobes. A bronchopulmonary segment is a division of a lobe, and each
lobe houses multiple bronchopulmonary segments. Each segment receives air
from its own tertiary bronchus and is supplied with blood by its own artery.
Some diseases of the lungs typically affect one or more bronchopulmonary
segments, and in some cases, the diseased segments can be surgically
removed with little influence on neighboring segments. A pulmonary lobule is a
subdivision formed as the bronchi branch into bronchioles. Each lobule receives
its own large bronchiole that has multiple branches. An interlobular septum is a
wall, composed of connective tissue, which separates lobules from one another.
 GROSS ANATOMY
OF THE LUNGS
– Blood Supply and Nervous Innervation of the Lungs
The blood supply of the lungs plays an important role in gas exchange and serves as a transport system for
gases throughout the body. In addition, innervation by the both the parasympathetic and sympathetic
nervous systems provide an important level of control through dilation and constriction of the airway.
– Blood Supply
The major function of the lungs is to perform gas exchange, which requires blood from the pulmonary
circulation. This blood supply contains deoxygenated blood and travels to the lungs where erythrocytes, also
known as red blood cells, pick up oxygen to be transported to tissues throughout the body. The pulmonary
artery is an artery that arises from the pulmonary trunk and carries deoxygenated, arterial blood to the
alveoli. The pulmonary artery branches multiple times as it follows the bronchi, and each branch becomes
progressively smaller in diameter. One arteriole and an accompanying venule supply and drain one
pulmonary lobule. As they near the alveoli, the pulmonary arteries become the pulmonary capillary network.
The pulmonary capillary network consists of tiny vessels with very thin walls that lack smooth muscle fibers.
The capillaries branch and follow the bronchioles and structure of the alveoli. It is at this point that the
capillary wall meets the alveolar wall, creating the respiratory membrane. Once the blood is oxygenated, it
 GROSS ANATOMY OF THE LUNGS

–Nervous Innervation
Dilation and constriction of the airway are achieved through nervous control by the parasympathetic and
sympathetic nervous systems. The parasympathetic system causes bronchoconstriction, whereas the
sympathetic nervous system stimulates bronchodilation. Reflexes such as coughing, and the ability of the
lungs to regulate oxygen and carbon dioxide levels, also result from this autonomic nervous system control.
Sensory nerve fibers arise from the vagus nerve, and from the second to fifth thoracic ganglia. The pulmonary
plexus is a region on the lung root formed by the entrance of the nerves at the hilum. The nerves then follow
the bronchi in the lungs and branch to innervate muscle fibers, glands, and blood vessels.

–Pleura of the Lungs

Each lung is enclosed within a cavity that is surrounded by the pleura. The pleura (plural = pleurae) is a serous
membrane that surrounds the lung. The right and left pleurae, which enclose the right and left lungs,
respectively, are separated by the mediastinum. The pleurae consist of two layers. The visceral pleura is the
layer that is superficial to the lungs, and extends into and lines the lung fissures. In contrast, the parietal
pleura is the outer layer that connects to the thoracic wall, the mediastinum, and the diaphragm. The visceral
and parietal pleurae connect to each other at the hilum. The pleural cavity is the space between the visceral
and parietal layers.
 FETAL CIRCULATION
Ductus
Superior
arteriosu
vena cava
s
Lu
ng
Lu
6 ng
0
– Oxygen delivery in the fetus
Pulmona

Oxygen delivery is related to CVO and the oxygen content of ry artery

2
5
0
5
blood. Oxygen content of blood is determined mainly by Foramethe
n ovale
quantity of haemoglobin and its oxygen saturation. The fetus
Inferior
has a high haemoglobin concentration (16 g dl1 at term), vena with a
6
cava
L
high percentage of haemoglobin F (HbF), which has a lower
5 vent
Ductus Ri
ef
8 ricle
venosus gh
t A
0
content of 2,3-diphosphoglycerate, thus shifting the oxygen
Li
2
5
t ort
a
ve
dissociation curve to the left. This favours oxygen uptake
r in the Kid

placenta, where, if PO2 values are similar in uterine andl

Porta ney

vein
umbilical venous blood, the oxygen saturation inumbilicalUmb
ilicu
s
venous, Umb
arte
ilical
ries

Comm
on arte
ries
iliac
Umbili
cal
Psychosocial
Profile
 PATIENT’S PROFILE

Patient name: Thristan Jay Tampadong Age:21days(Newborn) Gender: male

Contact number: N/A Address: Yati Liloan, Cebu Diagnosis: Neonatal sepsis Date of
Admission: November 10,2019 Religion: Roman Catholic Birth date: Nov. 7,2019
Name of hospital: VSMMC Civil status: Child

Mother’s name: Jean Rose Tampadong Age: 22 Gender: female

Birthdate: Jan 31,1997 Address: Yati liloan, Cebu Religion: Roman Catholic
Father’s name: Jayson Tampadong Age: 32 Gender: male
Religion: Roman Catholic Birthdate: October 9, 1987 Civil status: married
 Demographic Information
Name: Thristan Jay Tampadong Age: Newborn Sex: MALE

Address: Yati Liloan, Cebu City Educational Attainment: N/A Civil Status: child

Occupation: Room and Bed No.: Date & Time of Admission:

N/A ERPEDIA-2 November 10, 2019
[Link] pm

Chief Complaint(s): Religion: Nationality:

1 day PTA, ast. At fever Roman Catholic Filipino

Doctor(s) in Charge: Diagnosis: General Impression of client

Yrauda, Noreen Joyce Neonatal Sepsis (appearance upon first
contact):
Lying on bed, asleep, with ISA,
with o2, on EBF
 MALE
32, Alive and 22, Alive
well and well FEMALE
-
MISCARRIAGE

MARRIED

Miscarried Miscarried

Baby Boy D,
Newborn
 Growth and Development
of NEWBORN

Physical development
Watching your baby grow in size is part of the fun of being a new
parent. Don't be alarmed if your newborn loses some weight
shortly after birth. This weight usually is regained within 10 to 12
days. Most newborns gain about4 oz (113 g) to8 oz (227 g) a
week and grow about 1 in. (2.5 cm) to1.5 in. (3.5 cm).
Cognitive development
Cognition is the ability to think, learn, and remember. Your
newborn's brain is developing rapidly. You promote healthy brain
growth every time you interact in a positive way with your baby.
 Growth and Development
of NEWBORN
– Emotional and social development. Newborns quickly learn to communicate. They seek interaction with you and
express how they feel with sounds and facial expressions. At first, instinctual behaviors, such as crying when
uncomfortable, are your baby's ways to signal his or her needs. Soon your newborn starts to subtly communicate and
interact with you. For example, your baby's eyes will track your movements. And his or her face will brighten when you
cuddle and talk soothingly. Even at a few days old, your baby may try to mimic you sticking out your tongue.
– Language development. Your newborn is listening to and absorbing the basic and distinct sounds of language. This
process forms the foundation for speech.
– Sensory and motor skills development. Newborns have all five senses. Your newborn quickly learns to recognize
your face, the sound of your voice, and how you smell. Your newborn's sense of touch is especially developed,
particularly around the mouth. Your baby also has a strong sense of smell. After a few days, your newborn hears fairly
well and responds most noticeably to high-pitched and loud sounds. Your baby recognizes and prefers sweet tastes to
those that are sour, bitter, or salty. Vision is developing quickly but is believed to be the weakest of the senses. 
Motor skills develop as your baby's muscles and nerves work together. Movements are mostly controlled by reflexes,
such as the rooting reflex, which is when a newborn's head turns and his or her mouth "reaches" toward a touch.
Hands are tightly fisted when the baby is alert.
PATHOPHYSIOLOGY
 Physical Examination
I. VITAL SIGNS
HR: 153bpm RR: 4cpm TEMP: 38.8 WT: 2.5kg
II. SKIN
Skin temp: Warm
Turgor: Good
Lesions: None
Nails: Normal
III. HEAD/EYES/ EARS/NECK/THROAT
Head Shape: Round
Head Scalp: Normal
Head Fontanels: Sunken
Hair/Eyes: Normal
EARS
Pinna: Normal
External canal: Normal
Tympanic membrane: Intact
Hearing: No tested

NOSE
Turbinates: Normal
NECK
Normal
THYROID
Normal
GENITO-URINARY
Normal
BACK AND SPINE
Symmetric

EXTREMITIES
Normal
GORDON’S Health BEFORE DURING
Assessment

I. Health Perception – Was able to breathe freely and The patient has a sign of tachypnea and cyanosis, and
Health Management simultaneously, the baby is febrile baby is in distress eminient to its crying and
healthy and has no signs of movement
distress and illness

II. Nutritional-Metabolic Appetite unchanged with heplock and on going IV on exclusive breastfeeding
Pattern No signs of allergies with EBM @10 CC
On exclusive breastfeeding

III. Elimination Pattern Stool is yellow and Stool is color yellow And loosed
[Link] signs of dysuria
IV. Activity -Exercise Movements are visible, movements are visible as as sign of distress
Pattern can stretch arms and feet
as sign of yawning

V. Sleep - Rest Pattern The baby asleeps most f Baby is irritated, difficult in sleeping
the times and wakes up
only when hungry
VI. Cognitive – Perceptual • with heplock and on going Dependent to its oxygen,
Pattern IV on exclusive familiar the scent its mother
breastfeeding with EBM
@10 CC

VII. Self Perception – Self N/A N/A

Concept

VIII. Role Relationship Strong bond with the mother, Mother brought the child to
Pattern kangaroo cared the hospital
 LABORATORY RESULTS
– HEMATOLOGY SECTION TEST NAME RESULTS UNIT REFERENCE RANGE
COMPLETE BLOOD COUNT

WBC Count L 6.99 x10^9/L 9-1-34.0 RBC Count 3.53 x10^12/L 3.2-6.1
Hemoglobin L 119.00 g/L 150-240 Hematocrit L 34.00 % 44-70
MCV L 96.60 fl 99-115 MCH 33.70 pg/cell 33-39 MCHC 34.90 % 32-36
RDW-CV 14.30 % Platelet Count L 104.00 x10^9/L 150-450
Differntial Count Neutrophil L 31.30 % 54-62 Lymphocyte H 50.90 % 25-33
Monocyte H 12.20 % 3-11 Eosinophil H 5.00 % 1-3
Basophil 0.60 % 0.1
– TEST RESULTS UNIT REFERENCE NUMBER

Sodium L 131.30 mmol/L 135.000-145.00 Potassium 4.07 mmol/L 3.50 -5.50

Chloride 101.60 mmol/L 98.00-108.00 Iodized Calcium 1.37 mmol/L 1.10-1.40
 LABORATORY RESULTS
– CHEMISTRY SECTION TEST
NAME RESULTS UNIT REFERENCE NUMBER

Sodium L 127.70 mmol/L 135.00-145.00 Potassium 4.51 mmol/L 3.50-5.50

Chloride 101.80 mmol/L 98.00-108.00 Iodized Calcium 1.38 mmol/L 1.10-1.40
Total bilirubin H 11.39 mg/dL 0.3-1.1 Direct Bilirubin 0.39 mg/dL 0.1-0.4
Indirect Bilirubin 11.01 mg/dL
– CLINICAL MICROSCOPY SECTION CELL COUNT/BODY FLUIDS RESULT RESULT UNIT BODY FLUIDS Specimen
CEREBROSPINAL FLUID (LUMBAR PUNCTURE)
Color: LIGHT YELLOW
Transparency: CLEAR
Approximate Volume: 1.2 ML ml
CELL COUNT WBC 0 cells/Ul RBC 10 cells/uL
DIFFERENIAL COUNT
Remarks : DIFFERENTIAL COUNT NOT DONE NO WBC SEEN
 NURSING CARE PLAN
Assessment Diagnosis Planning Intervention Rationale Evaluation

SUBJECTIVE: Ineffective Airway Short term: •Establish rapport Normally the •To gain client’s
“More than 1 week Clearance related to After 1 hour of lungs are free and relatives
na sigeg ubo akoa retained secretions nursing •Monitor VS from secretions. trust
anak ma’am nya in the bronchi
intervention, the Pneumonia
iyang ubo gahi ra ba secondary to
mao guro ni pneumonia client will be able •Suction bacteria are •To obtain
hinungdan maglisud to maintain secretions PRN invading the lung baseline data
siyag ginhawa.” As airway patency, parenchyma thus,
verbalized by the clear breath •Place on producing •To decrease
mother. sounds. orthopnea inflammatory secretion retained
position process. And in the bronchi
OBJECTIVES: Long Term: these responses
After 1 day of •Elevate HOB leading to filling •To maintain
•DOB
nursing of the alveolar patent airway
•Wheezes onboth intervention, the sacs with
lungfields client will be able exudates leading
to expectorate to consolidation.
•ProductiveCoug retained The airway is
secretions and narrowed thus
•Changes in maintain normal wheezes is being
respiratory rate and
breathing heard. DOB in
rhythm;
•restlessness some cases.
 NURSING CARE PLAN
Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Risk for After 8 hours of INDEPENDENT After 8 hours of Body substance
  isolation (BSI)
“Maglisud kug
infection nursing •Provide isolation
nursing should be used for
patotoy ni baby gud related interventions, and monitor visitors interventions, all infectious
ma’am kay gi compromised the patient will as indicated. the patient will patients. Reverse
danggas unya immune system achieve timely achieve timely isolation/restriction
namugnaw pod. Di of visitors may be
kaayu siya active healing and •Wash hands before healing and needed to protect
mo totoy.” As freeform further or after each care freeform further the immune
verbalized by the infection. activity, even gloves infection. suppressed patient.
mother are used.
  Reduces risk of
  cross contamination
Objective: •Limit use of because gloves may
Increased body invasive devices or have noticeable
temperature procedure as defects, get torn or
Flushed skin possible. damaged during
Increased use.
respiratory rate
V/S taken as follows: •Inspect wounds
T: 37.5 onsite of invasive Prevents spread of
P: 148 devices, paying infection via air
R: 48 particular attention borne droplets.
to parenteral lines.
 NURSING CARE PLAN
Assessment Diagnosis Planning Intervention Rationale Evaluation

SUBJECTIVE: Ineffective After 48 hours of Assess for After 48 hours of Assess for
“Dili enough akoa nursing presence/absenc nursing presence/absence
gatas para maka
Breastfeeding
interventions the e of related interventions, of related factors
totoy ug daghan si
mother will be factors or goal met. Mother or conditions that
baby ”. As
verbalized by the able to: conditions that was be able to would preclude
mother. Express physical would preclude verbalize physical breastfeeding.
Persistent of sore and psychological breastfeeding. and psychological Assess breast and
nipples beyond the comfort in Assess breast comfort in nipple structure.
first week of breastfeeding and nipple breastfeeding Evaluate and
breastfeeding practice and structure. practice and record the
Insufficient techniques Evaluate and techniques, was mother’s ability
emptying of each
Show decreased record the able to display to position, give
breast
  anxiety and mother’s ability decreased anxiety cues and help the
OBJECTIVE: apprehension. to position, give and apprehension infant latch on.
Observable signs of State at least one cues and help and was able to
inadequate infant resource for the infant latch find a resource for
intake (decrease in breastfeeding on. breastfeeding
number of wet support support. Infant
And the infant will was able to
be able to: manifests signs of
Feed successfully adequate intake
at the breast.
 DRUG STUDY
– GENERIC NAME: Ampicillin BRAND NAME: Ampcillin tridyhate
CLASSIFICATION: Anti- infective, bactericidal DOSAGE: 150mg IVP q6 ANST(-)

MECHANISM OF ACTION: Inhibit cell-wall synthesis during bacterial multiplication

INDICATION: is used to prevent and treat number of bacterial infections, such as respiratory tract
infections, urinary tract infections, meningitis, salmonellosis, and endocarditis. It may also be used to
prevent group B streptococcal infection in newborns

CONTRAINDICATION: Contraindicated in pts hypertensive to drug or other penicillin and cephalosporins

SIDE EFFECT/ ADVERSE REACTION: nausea, vomiting, diarrhea, abdominal pain, fatigue, head ache,
dysuria, urinary retention, dizziness, agitation, confusion

NURSING RESPONSIBILITIES:
*Prior to administration, skin test is to be done to determine signs and symptoms of hypersensitivity
*Monitor seizures when giving high doses.
*Instruct mother to not miss a dose unless ordered by physician *Instruct mother to report signs and
symptoms of super infection
 DRUG STUDY
– DRUG NAME: Amikacin BRAND NAME: Amikin CLASSIFICATION: aminoglycosides
DOSAGE: 250g IV q12

MECHANISM OF ACTION: inhibits protein synthesis by binding directly to 30S ribosomal sub unit;
bactericidal
INDICATION: Primarily for short term treatment of serious infections of respiratory tract, bones,
joints, skin, and soft tissues, CNS( including meningitis) and peritonitis burns
CONTRAINDICATION: History of hypersensitivity or toxic reaction with an aminoglycosides
antibiotic.
ADVERSE EFFECTS: CNS: neurotoxicity, drowsiness, unsteady gait, weakness, clumsiness,
paresthesias, tremors, convulsions, peripheral neuritis.
VESTIBULAR: dizziness, ataxia
GI: nausea, vomiting, hepatotoxicity
METABOLIC: hypokalemia, hypomagnesemia
SKIN: skin rash, urticaria, pruritis, redness
UROGENITAL: oliguria, urinary frequency, hematuria, tubular necrosis, azotemia
OTHER: superinfections
NURSING RESPONSIBILITIES: before initial dose, C&S; renal function and vestibulocochlear
nerve function *monitor peak and trough amikacin blood levels:, Draw blood 1h after IM or
immediately after completion of IV ; draw trough levels immediate before the next IM or IV dose
 DRUG STUDY
– Brand name: Gentian violet CLASSIFICATION: antiseptic, antibacterial, antifungals

MECHANISM OF ACTION: is used to treat some type of fungus infections inside the
mouth (trush) and of the skin, it also has weak antibacterial effects and may used on minor
cuts and scraped to prevent infection
INDICATION: is used for digestion problem such as loss of appetite, fullness ,intestinal
gas, diarrhea, gastritis, heartburn, and vomiting. Is also used for fever and diabetes.
CONTRAINDICATIONS: contraindicated to condition with cancer sores, vaginal irritation
and allergies( triphenylmethane analogues)
Dosage form: solution, Gentian violet : crystal violet, methylrosaniline and hexamethylpararosaniline
Route: mouth Dosage: . 25% or .5% solution. FREQUENCY: Apply to affected area of the skin 2-3 times a day SIDE
EFFECTS/ADVERSE REACTION: redness, swelling, or irritation, nausea,vomiting,diarhhea and abdominal pain.
NURSING RESPONSIBILITIES:
*In giving the medication make sure to read the prescription of the physician.
* Infants should be turned face downward after application to minimize ingestion of this drug
* Inform the signs and symptoms that occurs in giving the medication
* Inform the mother the side effects of using this drug and is not hindrance of parents who are in breastfeeding
*Inform the mother that the color of gentian does not will slowly disappear and is not hazardous
*Slowly swab the infant's affected area *Instruct to report for any signs and symtoms that mau occur
 DISCHARGE PLAN
A. Objectives
1) To maintain a patent airway
2) To maximize breathing capacity
3) To relieve patient's secretions

B.
I: Medications

GENERIC NAME: Ampicillin 150mg Q.D P.O.

DRUG NAME: Amikacin 250mg Q.D P.O
Brand name: Gentian violet .5%sol b.i.d P.O
 DISCHARGE PLAN
II-Exercise/Activity
Type of activity allowed:
- Deep breathing exercises
- Light activities Procedure/steps
1) Sit up straight as you prepare to do these exercises. Keep your backbone fully upright with
your shoulders pulled backas you get into position.
2) Inhale slowly & deeply. Slowlu fill your lungs with air. Think about how pure, fresh and
cleansing this "new" air is for your body.
3) Focus on how your lungs feel as they fill with air. Notice how they expand. Pay attention to
how your diaphragm moves to make room more air in your lungs.
4) Exhale slowly. Release the air from your lungs until they are completely empty. Feel your lungs
contracting as you expel all of the old air from your body
 DISCHARGE PLAN

III-Treatment :
Comply with medications :
Increase fluid intake :
Utilize deep breathing exercise for at least twice a day

IV-Health teachings
( ) Clinic appointment schedules
( ) Follow-up laboratory examinations
( ) Understanding & knowing what to do with side effects of medications
( ) Others: Health teaching on deep breathing exercises
Thank You!!!