Fluconazole tablet 03/14-03/16 & Mupirocin ointment
A 57 y/o male with a PMHx of anemia, T2DM, HTN, heart failure, muscle spasms, ESRD on HD, and osteomyelitis was seen today for follow-up to monitor Fluconazole treatment and Mupirocin. The patient is
in bed, and no S/S of acute distress was noted. No SOB, palpitations, fever, dizziness, or n/v. Admitted on IV ABX due to bacteremia, no adverse effects. Follow-up for Balanitis on his penis. No discharge, itching, or pain were reported during the examination. However, irritation was reported. The patient is on Dialysis at bedside. Continue to monitor patient
status. Education was given about proper hygiene, avoiding irritants, and using prescribed treatments to help manage symptoms and prevent complications. The patient's lung is clear on auscultation, and heart S1 and S2 are present.
No known allergies
Fluconazole oral tablet; 150 mg: amt: 150 mg: oral Special Instructions: fluconazole tab 150 mg (1 tab QD) x 3 day Once A Day. Begin: 03/14/2025 - 03/16/2025
End: 03/16/2025
Mupirocin ointment; 2 %; amt: 2 %; topical Three Times A Day. Begin; 03/05/2025 - Open ended
End: Open ended
N48.1 Balanitis & R78.81 Bacteremia
Fluconazole oral tablet; 150 mg: amt: 150 mg: oral Special Instructions: fluconazole tab 150 mg (1 tab QD) x 3 day Once A Day. Begin: 03/14/2025 - 03/16/2025
End: 03/16/2025
Mupirocin ointment; 2 %; amt: 2 %; topical Three Times A Day. Begin; 03/05/2025 - Open ended
End: Open ended
Patient should maintain good genital hygiene by gently washing the affected area with warm water and avoiding harsh soaps or irritants. If prescribed, topical antifungal or antibiotic creams Should be applied as directed to treat the underlying cause. Keeping the area dry and wearing loose-fitting, breathable underwear can help prevent further irritation. The patient should avoid sexual activity until symptoms resolve to prevent discomfort and potential transmission of infection. If symptoms persist, worsen, or recur frequently, follow-up with a healthcare provider is necessary to rule out underlying conditions such as diabetes or infections.