I A C P The first option provided misprostol,a prostaglandin mixture was insufflated onto the wound and the analog which is used extensively in the protection of ciprofloxacin mixture was placed on top. Culture the gastric mucosa when issues such as ulceration and sensitivity labs reported that the Staph. arise. It has cytoprotective Infection was sensitive to several antibiotics. effects which can decrease Ciprofloxacin was chosen out of the group due to its healing time. For years, availability and cost.The poloxamer gel was chosen compounders have taken the due to its viscoelastic properties. The gel is less cytoprotective nature of the viscous at refrigerated temperatures and much drug and experimented with it thicker at body temperature. A 2% ciprofloxacin topically for wound care. suspension was made and once it was applied to Metronidazole was added to the wound, it would partially solidify providing L.S. help with a secondary with an antibiotic gel that also doubled as a pseudomonal infection and bandage. Poloxamer alone has been shown to be lidocaine was used for localized pain relief. The an excellent wound care dressing. Within three Polyox WSR powder base was specifically chosen months, L.S.’s infection cleared up significantly and due to its bio-adhesive properties. Because this his wounds were markedly improved.Unfortunately, patient was only able to visit the clinic three times L.S. passed away due to an unrelated illness. This a week, the choice of vehicle was important. We is the sad reality of Haiti but hopefully L.S.’s had to depend upon vehicles that would properly memory will live on as we use his case to help adhere to the wound for extended periods of time. others in the future. Once the wound was properly cleaned, the above CASE #2 – Nutritional Supplementation in Special Needs Children It is difficult to think of defenseless children with special needs being left by the wayside; but, this is yet another example of the desperation of the Haitian population. Many of these children are often abandoned due to the fact that they are often seen as a burden on the population. The staff at Danita’s Children including a very special woman, Heather Meyer, has done an outstanding job of making these children “visible” to their community. At the orphanage a very special child touched my heart the very first time I met him. His name is “Fat” Peterson, a 7-year-old patient with Cerebral Palsy (CP). Peterson first came to the orphanage in the summer of 2011 weighing only 15 pounds. He has gained 10 pounds (66% of his initial body weight) since he has been at the orphanage, hence the name, “Fats.”His condition made it very difficult for him to eat and because of this he was in need of intense nutritional therapy. Although most children have no problem swallowing medications, children with CP experience issues with solid dosage forms. Peterson was already well controlled with his traditional medications; but, he was still lacking in nutrients. A problem that many CP patients experience is osteopenia which is closely tied with the high prevalence of sub-optimal Vitamin D levels in this patient population.We were able to come up with an oral solution which incorporated 5000 international units of Vitamin D3 in 0.5ml. Peterson 6 I A C P C U S T O M Rx C O N N E C T I O N I A C P R X . O R G
Custom Rx Connection August 2012
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