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Paronychia paronychia - Coggle Diagram
Paronychia
Definition: Infection of the skin around fingernails and toenails.
Causes
Candida
Bacteria
Biting or chewing nails
Clipping nails too short
Ingrown nails
Excessive exposure of the hands to moisture
Clinical Manifestations
Tenderness of the skin
Redness of the skin around nail
Pus-filled blisters
Detachment of a nail
Changes in nail shape and color
Treatment
Dicloxacilin
Clyndamycin
Hydrocortisone
Clotrimazole
Terbinafine
Miconazole
Draining the pus out
Health education
Avoid biting or chewing nails
Avoid keeping your hands moist
Advice the patient to moisturize after washing hands
Avoid contact with irritants
Taking care when cutting nails
Pathophysiology
the occurrenc of cracks or trauma allows organisms to enter the moist nail
Then bacterial or yeast infectetion occurs an abscess forms
Breadown of the protective barrier between the nail and the nail fold
Inflammation of the skin around the nail
Diagnostic findings
Sample of pus
Medical history
Physical examination
Nursing intervention
Educate clients about appropriate methods of disinfecting
Encourage intake of protein-rich and calorie-rich foods
Perform hand hygiene before having contact with the patient and after touching the patient
Nurse should perform measures to break the chain of infection and prevent infection
Nurse should maintain strict asepsis for dressing and wound care
Encourage increase in the fluid intake
Teach clients about the importance of avoiding contacts with others
Administer medication as prescribed by the doctor
Advice patient to elevate the injured finger
Soak the infected area at least four times a day
Diet
Intake of calorie rich food
Intake of fluids
Intake of protein rich food
