@deearchie_np: Here’s a hint… it’s not fungal.What are your thoughts? #nursepractitioner #npstudent #nursepractitionerstudent #nursetok

Dee | NP • Women’s Health
Dee | NP • Women’s Health
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Friday 16 May 2025 19:23:58 GMT
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bozzybabe
Bozz :
Pseudomonas?
2025-05-16 20:06:51
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deearchie_np
Dee | NP • Women’s Health :
Assessment: Likely Pseudomonas aeruginosa infection of the nail (Green Nail Syndrome), secondary to prolonged moisture exposure and possible nail plate separation. Plan: • Recommend keeping the nail dry • Start Ciprofloxacin 0.3% ophthalmic drops or Gentamicin 0.3% drops, apply to affected nail BID • Initiate daily vinegar soaks (1 part white vinegar to 3 parts water) for 10 minutes • Debride or trim detached nail portions as needed • Avoid nail polish and artificial nails during treatment • Follow-up in 2–3 weeks • Consider oral fluoroquinolones (e.g., ciprofloxacin) if topical treatment fails or infection worsens
2025-05-17 10:50:59
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stephaniacash
stephnurse :
fungus.. needs to be placed on antifungal meds.. and maybe a broad spectrum antibiotics too.. topical also. avoid any nail application for 6 months to 8 months.. or ever..
2025-05-16 19:59:18
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