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Drug Mebo Ointment Brand name: Mebo - Burn and wound management -TID(9-1-5) NGT

Mechanism of Action Expose the wound to a physiological moist environment to ehnance the natural healing processes, whereby keratinocytes migration, angiogenesis, and interaction with growth factors are facilitated

Indication Treatment of flare burns, scalds, sunburn, skin ulcers, pressure sores, wounds

Contraindication Allergy to sesame. Systemic complications caused by burns.

Adverse Reaction Mebo is of pure herbal edible origin. No side effects to the product have been reported so far, expect for rare allergic reactions to sesame oil.

Nursing Indication Apply on affected site as necessary Burns: a) First degree burns (superficial burns): applied as immediately as possible. A thin layer (about 1 mm thickness) should cover the burnt area. It is better to keep the wound exposed, but if there is a need, a light dressing can be used. Reapplication should be done 3 to 4 times daily if exposed or twice daily is closed. b) Second degree burns: First Phase Liquefying period: A thin layer should cover the burnt area and renewed 3 to 4 times daily. Before reapplication, the liquefied necrotic tissue and the residues of the old ointment should be wiped off gently. It is better to keep the wound exposed, but if there is a need, a light dressing can be used and a relatively thicker layer (about 3 mm thickness) should be applied

and renewed twice daily. Second Phase Repair period: should be applied as before, but less frequently (2-3 times daily). Third Phase Rehabilitation period: ointment should be applied as before, but only once daily. c) Third degree burns: ointment should be applied as mentioned before to liquefy the necrotic tissue. A thin layer should cover the burnt site and renewed 3 to 4 times daily. 2) Donor Site: A thin layer should cover the donor site and renewed 3 to 4 times daily if exposed or twice daily if closed. 3) Leg Ulcers: A sterile gauze should be impregnated with and should fill the cavity of the ulcer, and renewed twice daily. 4) Surgical and Obstetrical Wounds: ointment should cover the wound in a relatively thick layer (about 3 mm) under a sterile dressign and

3 Egg White -source of Albumin -TID (9-1-5) -NGT

Albumin attracts the fluid in the blood and keeps it in the blood vessels.

Albumin Sensitivity to attaches to egg and transports hormones, including thyroid hormone throughout the body. It carries free fatty acids to the liver; it transports bilirubin. Albumin also transports drugs, binds with calcium, and helps maintain the blood acidity in a narrow range. Its most important function is that it maintains osmotic pressure, which keeps the plasma inside the blood vessels

Skin inflammatio n or hives, Allergic nasal inflammatio n (allergic rhinitis), Digestive (gastrointest inal) symptoms, such as cramps, nausea and vomiting, Asthma signs and symptoms such as coughing, chest tightness or shortness of breath

renewed twice daily. 5) Cracked Nipples: A thin layer should be applied to the nipple under a light pad, and renewed 3-4 times daily. It is safe for the infant that nursing can precede without any hazards. Assess patient sensitivity to egg Administer Histamine Administer emergency Epinephrine

where it belongs instead of allowing it to ooze out into the tissues.

Prosure 5 drops + 150cc -Medical Nutrition therapy -TID (9-1-5) - NGT

Helps normalize metabolism and promote weight gain and help build lean body mass (LBM) in people experiencing cancer induced weight los

Dietary Parenteral use. management Galactosemia. of people at risk of experiencing cancer induced wt loss

No side effects to using Prosure are known.

Consume w/in 24 hr after reconstitution.