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While there are no specific guidelines for nurses roles in pain management or in the education, administration, and management of complex wound patients, some suggestions exist for providing quality care to patients receiving pain management for their complex wounds (1-3,20)

The 2 mL Ratio Some individuals prefer a more diluted solution, especially if they are using a very small dose and want to ensure they arent losing medication in the dead space of the needle

This is the concentration that most dosage charts reference, and the one we will use as our primary reference throughout this guide

Neurological changes A lack of vitamin B12 can cause neurological problems, which affect your nervous system, such as: vision problems memory loss pins and needles loss of physical co-ordination (ataxia), which can affect your whole body and cause difficulty speaking or walking damage to parts of the nervous system (peripheral neuropathy), particularly in the legs If neurological problems do develop, they can sometimes be irreversible

Blood test results will also show if your levels are improving.