Page 113 - LECTURE NOTES

1. Administer Sodium antimony gluconate IV or IM in a single daily dose 10 mg/kg

for adult.
2. For incomplete response and relapse case give 20 mg / kg for 40to 60 days, but

electro- cardio -graphic monitoring is important during prolonged use, because
the drug will cause cardiac problems

3. As alternative Oral allpurinol 20 to 30 /kg /day in three divided doses is effective
4. Treat secondary infection.

5. For resistance cases,amphotericin 0.5 to 1 mg/kg on alternative days or

pentamidine 3 – 4 mg/kg three times/ week for 5 to 25 wks
6. Properly cleaning the wound.

7. Electro cauttry or cryotherapy using liquid nitrogen lesion can be freezed .

NB: Additional Activities expected to be carried out by BSc nurses additionally are:
Assessing, Diagnosing, Planning, Prioritizing, Implementing, and evaluation of

patients care progress.

Summary of care

A. General nursing assessment for a patient with skin impairment

¾ Potential for pressure sore due to poor skin care
¾ Assess individual nutritional status, circulatory status, degree of mobility, whether

able to self-care or not able to exercise, and mental alertness are assessed.
¾ Inspect skin at frequent intervals

¾ Areas subjected to weight bearing and friction should be given special attention
¾ Vulnerable areas, sacral region, buttocks, ischal tubersity, spinal processes,

scapular areas, occipital areas, ears, elbows, knees and heels should be

checked since they are prone to bed sores
¾ Assess for skin abnormality indicators such as lesion, pruritus, urticaria,.pain,

redness, scaling, itching and scratching.
¾ Check for bacterial infection

¾ Check for scaring that may lead to stress psychologically.

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