Acute Paronychia Management

Aftercare

  • Elevate hand or foot to reduce throbbing and pain.
  • Leave packing in place for 24-48 hours to allow for continued drainage.
  • Clean affected digit with soap and water after packing removed.
  • Warm soaks for 10-15 minutes 3 to 4 times per day after dressing removed.
  • Avoid biting nails, sucking on fingers.
  • Avoid aggressive manicures.

Follow-up

  • Arrange follow-up for packing to be removed and wound evaluation after 24-48 hours.
  • Monitor for progressive infection and treat with systemic antibiotics as needed
    • Fever
    • Increasing pain after 24 hours
    • Increased redness or streaking
    • Swelling

 

Patient Education Handout – Paronychia

License

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Advanced Procedural Skills Copyright © 2018 by Brittany Stephenson NP, BScN, MN is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.