The Case We saw quite an interesting toxicology case in the emergency department the other day, which highlights some of the major issues in an increasingly common toxic presentation to departments: valproic acid toxicity
Reticulocytes start to increase by the 5th day of the dosage, reaching a maximum of 10 to 20 days
Regular monitoring of weight, kidney function, serum bicarbonate, and nutritional status is essential during combination therapy
Contact your healthcare provider for spreading redness, purulent drainage, fever above 100.4F, red streaking from the injection site, reactions lasting more than 5-7 days, or signs of allergic reaction such as hives, facial swelling, or difficulty breathing
Let the alcohol dry fully before going in skin that's still damp from the swab will sting more than it needs to
& Wang, E