Procedures-Nail Stuff

Front 1

-What are some things that can cause ingrown toe nails?

Back 1

-improperly timrred nails
-hyperhidrosis
-poorly fitting footwear
-trauma
-subungual neoplasms
-obesity
-excessive external pressure

Front 2

What are some tx options for ingrown toe nails?

Back 2

-warm water soaks
-cotton-wick insertion in the lateral groove corner
-debridement of the lateral nail groove
-silver nitrate cautery to the hypertrophied lateral nail tissue
-complete or parital nail evalsion
-wedge resection of the distal nail edge
-partial nail avulsion with phenol matricectomy sodium hydroxide matricectomy
-laser matricectomy
-electrosrugical matricectomy
-surgical excision of nail plate, nail bed, and matrix

Front 3

Do do a digital block of the toe, what do you use?

Back 3

1 percent lido without epi using a 10ml syringe to pull up medication and 30 guage needle to deliver lido

Front 4

What can u use around the base of the toe for a dry operative field?

Back 4

sterile rubber band

Front 5

Look at the steps to how to do it on ppt...

Back 5

because I am not typing it all out

Front 6

What do you want to document after toe nail procedure?

Back 6

-procedure, location, medications used and amount and any complications

Front 7

When should the toe be evaluated for infection?

Back 7

if increasing pain, swelling, redness, or drainage

Front 8

To do a digital nerve block, the needle is inserted where?

Back 8

-down to the bone, midway between the palmar and dorsal surfaces of the digit, 1-2 cm distal to the web space

Front 9

In a digital derve block, the anesthetic is administered with the needle ______ to the digit, then angled slightly toward where?

Back 9

-perpendicular
-angled slightly toward the palmar and dorsal surfaces as additional solution is injected

Front 10

-What are some things that can cause ingrown toe nails?

Back 10

-improperly timrred nails
-hyperhidrosis
-poorly fitting footwear
-trauma
-subungual neoplasms
-obesity
-excessive external pressure

Front 11

How much anesthetic is usually needed on each side of a digital nerve block?

Back 11

less than 1.5 mL

Front 12

What are some tx options for ingrown toe nails?

Back 12

-warm water soaks
-cotton-wick insertion in the lateral groove corner
-debridement of the lateral nail groove
-silver nitrate cautery to the hypertrophied lateral nail tissue
-complete or parital nail evalsion
-wedge resection of the distal nail edge
-partial nail avulsion with phenol matricectomy sodium hydroxide matricectomy
-laser matricectomy
-electrosrugical matricectomy
-surgical excision of nail plate, nail bed, and matrix

Front 13

Do do a digital block of the toe, what do you use?

Back 13

1 percent lido without epi using a 10ml syringe to pull up medication and 30 guage needle to deliver lido

Front 14

What can u use around the base of the toe for a dry operative field?

Back 14

sterile rubber band

Front 15

Look at the steps to how to do it on ppt...

Back 15

because I am not typing it all out

Front 16

What do you want to document after toe nail procedure?

Back 16

-procedure, location, medications used and amount and any complications

Front 17

When should the toe be evaluated for infection?

Back 17

if increasing pain, swelling, redness, or drainage

Front 18

To do a digital nerve block, the needle is inserted where?

Back 18

-down to the bone, midway between the palmar and dorsal surfaces of the digit, 1-2 cm distal to the web space

Front 19

In a digital derve block, the anesthetic is administered with the needle ______ to the digit, then angled slightly toward where?

Back 19

-perpendicular
-angled slightly toward the palmar and dorsal surfaces as additional solution is injected

Front 20

How much anesthetic is usually needed on each side of a digital nerve block?

Back 20

less than 1.5 mL

Front 21

What size needle is used in subungual hematoma drainage?

Back 21

18-21 guage

Front 22

When should a pt return for follow up to a subungual hematoma drainage?

Back 22

2-3 weeks if no complications occur

Front 23

What is one of the most common infections of the hand?

Back 23

paronychia

Front 24

What is a paronychia?

Back 24

superficial infection or abscess of the paronychial tissue of the hands or less commonly the feet

Front 25

What are some tx options for acute paronychia?

Back 25

-warm water soaks
-oral antibiotic therapy
-surgical drainage

Front 26

in cases of chronic paronychia, it is important that the pt avoid what?

Back 26

possible irritants

Front 27

What are some tx options for chronic paronychia?

Back 27

-topical antifungals
-topical steroids
-surgical intervention

Front 28

An acute paronychia most often results from what?

Back 28

nail bitting, finger sucking, aggressive manicuring, a hang nail or penetrading trauma, with or without retaining foreign body

Front 29

What is the most common infecting organism for paroncyhia?

Back 29

S. aureus
then streptococci and pseudomaonas

Front 30

Children are prone to acute paronchias how?

Back 30

through direct inoculation of fingers with flora from the mouth secondary to finger sucking and nail biting

Front 31

What is the cause of chronic paronchia?

Back 31

mutlifactorial

Front 32

Who are at risk for developing chronic paonychias?

Back 32

-those who are repeatedly exposed to water containing irritant or alkali, and those who are repeatedly exposed to mist environments

Front 33

Name some high risk people for development of paronychias.

Back 33

-bartenders
-housekeepers
-homemakers
-dish washers
-swimmers
-diabetics
-immunosuppressed person

Front 34

If warm water soaks fail to tx paronychias, what can be done next?

Back 34

warm water soaks along with PO anti staph meds and splint protection of the affected part are indicated

Front 35

In children who suck their fingers and pts who bite their nails, what should they be treated against?

Back 35

anaerobes with antibiotic therapy

Front 36

Read how to do a paronychia surgical tx on the power point

Back 36

because I am lazy and don't want to type it all out

Front 37

If the nail fold contains puss in paronychia, you should incise it with a what number blade?

and with the blade directed _______ from the nail bed to avoid what?

Back 37

11 or 15

-away from nail bed to avoid injury and subsequent growth abnormality

Front 38

The dressing from a paronychia removal should be removed when?

Back 38

in 48 hrs followed by warm water soaks QID for 15 minutes

Front 39

When should a pt return after a paronychia removal?

Back 39

2-3 weeks if there is no complications