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(25/32) -- Advanced Procedural Skills

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- Continue intermittent elevation of the extremity over the next 48 to 72 hours to reduce pain and swelling. - Pain relief with ice application and oral analgesics. - Wear open-toed shoes after initial procedure. - Saturate the dressing prior to removal to prevent bleeding and discomfort upon removal. - Soak the digit in warm water 24-48 hours after the procedure. - Apply antibacterial ointment and cover with a bandage daily for 7-10 days. - Review common causes of ingrown toenails and prevention measures. - Review conservative treatment options for future cases of mild ingrown toenails: - Relieve the pressure off the toe by placing a piece of dental floss or small piece of a cotton ball under the corner of your toenail. - Soak the foot in warm, soapy water or warm salt water for 10-15 minutes 3 to 4 times per day for 1 to 2 weeks or until the inflammation has improved. Follow-up - Monitor for signs and symptoms of infection: - Persistent or worsening pain 48 hours after the procedure. - Increasing redness of the area. - Development of a red streak on the toe/foot. - Presence of pus. - Fever. - Arrange for a wound check at 48 hours after procedure.
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