Discharge And Home Healthcare Guidelines

Teach the patient and family about the medications. Pyrimethamine can cause folic acid deficiency. The patient should report bleeding, bruising, visual changes, and feelings of fatigue. Folic acid supplements may be recommended by the physician. Pyrimethamine should be taken just before or after meals to minimize gastric distress. Sulfadiazine can cause decreased white blood cell count, cause fever and rash, and lead to crystals in the urine; it should be taken with a full glass of water, and daily fluid intake should be at least 2000 mL. Sulfadiazine causes increased sensitivity to the sun; the patient should avoid prolonged sun exposure and wear sunscreen when going outdoors.

If the patient has AIDS or some other condition that causes a permanent immunocompro-mised state, emphasize that these drugs probably are needed throughout the patient's lifetime. If the patient has neuromuscular defects, teach family members the exercises needed to maintain muscle strength and joint range of motion. If the patient has neurological involvement and is not on antiseizure medications, teach the patient and significant others how to recognize a seizure and what to do if it occurs. Discuss the long-term prognosis for acquired toxoplasmosis; assist the patient and family in drawing up an appropriate plan of action.

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