ingrown toenails

dressing change in

24 hours

patient should keep foot elevated for

24-36 hours

phenol ablation

3 60 second intervals with drying with a gauze pad inbetween must be dry, will turn gray color after 3 minutes drip 70% iso alcohol into nail groove to and swab area to neutralize the phenol

needle

5 ml syringe, 1-1.5 inche 25-27 guage

wait ___ for anesthetized to work

5-10 minutes

ingroe toenails need a __ block

digital

nerve supply to the great toe is throught the __

digital nerves that have an extesnsor and platar branch of both the medial and lateral aspect of toe

use anesthetic without

epi

toe most affected

great toe

radiofrequency method

insulated side up 1-2 seconds sizzling 15 second cooling in between

avoid vigour exercise for

one week

most common indication for removal of the nail is

onychocryptosis (ingrown nail)

other indications for nail removal

onychomycosis (fungal) chronic recurrent paronychia (infection of the nail fold) onychogrphosis (curved nails/ram's horn nail)

reason to remove nail

pain relief and body to heal the inflamed area

pregnat patients hsould not be given

phenol ablation

patient should be in _ position

supine

soak foot

twice a day in warm water