Discharge And Home Healthcare Guidelines

To prevent Rocky Mountain spotted fever, teach patients to avoid tick exposure if possible. Encourage them to wear dark, hooded clothing that is tight around the ankles and wrists when walking in wooded areas and tall grasses. Boots that lace provide additional protection. Explain that, after spending time in the country, patients should examine their skin and especially hair for the presence of ticks. Remind patients to use a tick repellant spray containing diethyltoluamide on their clothing. Teach patients to avoid spraying tick repellant directly on the skin.

Be sure the patient understands the importance of continuing to take antibiotics for the entire course. The most commonly prescribed antibiotic for adults is tetracycline. Teach the patient to avoid combining tetracycline with milk, antacids, and iron pills because these inactivate the drug. Antibiotics are prescribed for up to 1 week after the fever is gone. Teach the patient to report increasing shortness of breath, inability to take oral food and fluids, or a rash that appears infected. Encourage patients to report a fever that does not respond to every-4-hour doses of acetaminophen.

Salmonella Infection (Salmonellosis) 831

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