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
