Page 80 - LECTURE NOTES
P. 80

For PB patient standard dose of predinsolon:

                   Week of course                  Daily dose of pre dnisol /one
                       1- 2                                40 gm

                       3- 4                                30 gm

                       5 -6                                20 mg
                       7- 8                                15 mg

                       9-10                                15 mg
                         11- 12                            5 mg



                        ™ Total duration is twelve weeks


               For MB patient the standard treatment

                       Week of course                      Daily dose of treatment

                       1- 4                                40 mg
                       5- 8                                30 mg

                       9-12                                20 mg
                       13-16                               15 mg

                       17- 20                              10 mg
                       20-24                               5 mg



                        ™ This course last 24 weeks


               Nursing intervention

                     ♦  Rest is important during episode of reaction or inflammatory condition
                     ♦  Splint can be applied to the limb to rest affected Muscle & nerves

                     ♦  As recovery begins the nurse has to do passive exercise to help the range of

                         movement and follow by active exercise to restore muscle strength
                     ♦  Give health education to the patient about the medication and reducing the risk

                         of damage to body parts

                     ♦  If patient has loss of sensation in their feet, advise to wear proper footwear,
                         with microcella rubber inside the shoes



                                                             74
   75   76   77   78   79   80   81   82   83   84   85