Fishhook Removal

Aftercare

  • After removal of the fishhook, the wound should be explored and irrigated for possible foreign bodies (e.g., bait).
  • Leave the wound open, apply an antibiotic ointment and a simple dressing.
  • Administer tetanus toxoid as per guidelines.
  • Consider prophylactic antibiotic therapy for persons who are immunosuppressed or have poor wound healing (e.g., patients with diabetes mellitus or peripheral vascular disease).
  • Prophylactic antibiotic therapy may also be considered for deeper wounds that involve the tendons, cartilage, or bone.

Provide health education:

  • Keep the wound clean and dry.
  • Monitor for signs and symptoms of infection: wound tenderness, erythema greater than 1 cm from wound edge, wound purulence, and regional lymphangitis.

Follow-up

Patient should be advised to return to clinic if they develop signs of infection.

 

Patient Education Handout – Fishhook Removal

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.