Why would you not remove a foreign object from an open cut?
In open cuts, the foreign body may not be removed immediately if it could harm the blood vessels or nerves. Sometimes, a foreign body is stuck in the wound, which also stops the blood from spurting out. Such a deeply embedded foreign body must only be treated by a physician. The decision to remove or leave a foreign object inside the body depends on many factors such as
- Type of object (metal/glass/other)
- Size of the object (big or small)
- Location (deep or just under the skin or is it in the foot or hand where the use of the foot or hand will cause discomfort)
If an object, such as a knife, a piece of glass or metal, is embedded in a wound, do not remove it.
- Place several dressings around it to keep it from moving.
- Bandage the dressings in place around the object.
Most tiny foreign bodies in the skin surface can be removed at home. These include splinters, cactus spines, fiberglass and pieces of glass.
- If something needs to be removed by a doctor, see one right away. Waiting may cause the object to become hidden or pushed in deeper. The doctor can numb the skin before the object is removed.
- Organic slivers (wood or thorns) most often become infected if they are not removed. Nonorganic slivers (metal or glass) often do not become infected.
How to remove foreign objects from the skin?
Most of the time, you can remove small objects and debris from your skin using a pair of tweezers. When foreign objects enter the body because of a puncture wound, it’s important to use care. Removing large or deeply embedded objects can result in uncontrolled blood loss. Generally, it’s best to seek medical attention to remove any foreign body that’s large enough to create a substantial wound. Before you attempt any foreign body removal from the skin, make sure to
- Wash your hands using soap and water.
- Use tweezers and sterilize them with rubbing alcohol before use.
- Remove the object and sterilize the wound using rubbing alcohol.
- Allow the wound to dry and then apply antibiotic ointment.
- Cover the wound with a bandage or gauze pad.
A patient may require a visit with the doctor if
- The object does not come out easily.
- The puncture wound is on the face, deep or touching bone.
- The wound is very dirty.
- The object entered through the bottom of a shoe (stepping on a nail, for instance).
- You have not had tetanus shots recently.
What are the common measures to treat the wound?
The common measures include
- Rest the affected part as much as possible.
- Elevate the area above the level of your heart for the first two days. Elevation minimizes swelling and pain.
- Over-the-counter pain medications can help relieve discomfort associated with your wound. Acetaminophen (Tylenol), ibuprofen, or naproxen can be taken, depending on individual preference.
- Clean the wound daily with soap and water. After cleaning, re-dress the wound. Apply over-the-counter antibacterial ointment and cover the wound with gauze.
- When changing the dressing, inspect the wound for signs of infection, such as pus on the wound, increasing redness/swelling/warmth around the wound or red streaks spreading from the wound. If you suspect infection is present, return to the doctor promptly.
- If you have continuing problems with the wounded area, schedule a follow-up appointment with your doctor. Seek care if you have continuing discomfort when moving or using the wounded site or if you would like another opinion on the risks/benefits of removal.
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acetaminophen (Tylenol, Tylenol Arthritis Pain, Tylenol Ext, Little Fevers Children's Fever/Pain)
Acetaminophen is a drug that reduces fever and relieves pain. It is available alone, or in combination with hundreds of other drugs available both over-the-counter (without a prescription) or that that may require a prescription from your doctor, for example, acetaminophen and hydrocodone (Vicodin, Norco) or acetaminophen and oxycodone (Percocet).
Acetaminophen treats a variety of diseases or other medical problems that cause pain or fever. Examples of conditions acetaminophen treats include, headache, minor arthritis pain, back pain, tooth pain, menstrual cramps, PMS, osteoarthritis, common cold, tension headache, chronic pain, hip pain, shoulder and neck pain, sore throat, sinus infection, teething, TMJ, bites and stings, and sprains and strains.
Acetaminophen generally has no side effects when taken as prescribed. When side effects are experienced, the most common are headache, rash, and nausea.
In 2014, the FDA recommended that doctors and other health care professionals only prescribe acetaminophen in doses of 325 mg or less. This warning highlights the potential for allergic reactions, for example, face, mouth, and throat swelling, difficulty breathing, itching, or rash. This action also will help reduce the risk of severe liver injury and serious allergic reactions associated with this drug. Other possible serious side effects adverse effects include anemia, kidney damage, thrombocytopenia (a reduced number of platelets in the blood), and liver problems.
Other patient information. Do not take more than one product that contains acetaminophen at the same time. Do not take more than one acetaminophen-containing drug than directed. Do not drink alcohol while taking medicine that contains acetaminophen due to severe liver damage.
REFERENCE: FDA Prescribing Information.
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