From the Guidelines
Discharge instructions for a patient with a 3cm hand laceration treated with Anti-Tetanus Serum (ATS) should prioritize wound care, medication guidance, and follow-up plans to minimize morbidity, mortality, and improve quality of life. The patient should keep the wound clean and dry for the first 24 hours, then gently wash with mild soap and water daily 1. It is essential to apply antibiotic ointment like Bacitracin or Neosporin and cover with a clean bandage, changing it daily or when soiled. The patient should take prescribed pain medications such as acetaminophen or ibuprofen as directed and watch for signs of infection, including increasing redness, swelling, warmth, pus, fever, or worsening pain, seeking immediate medical attention if these occur 1.
After receiving ATS, the patient should monitor for delayed allergic reactions for up to 2 weeks, including rash, joint pain, or fever 1. The patient should return for suture removal in 7-14 days, depending on the wound location and healing progress. Elevating the hand above heart level when possible can help reduce swelling, and the patient should avoid heavy lifting or activities that could strain the wound for at least 1-2 weeks 1.
The recommended prophylactic dose of TIG is 250 units IM for adult and pediatric patients, and when tetanus toxoid and TIG are administered concurrently, separate syringes and separate sites should be used 1. The patient should be discharged with referrals for follow-up if possible, and written information on predischarge treatment should be provided to facilitate the ability of primary health-care providers to evaluate and, if appropriate, complete age-appropriate vaccinations or vaccination series 1.
The patient's discharge plan should include a clear follow-up schedule, medication management, and wound care instructions to ensure proper healing and minimize complications. By following these guidelines, the patient can reduce the risk of infection, promote proper healing, and minimize scarring while the laceration heals 1.
From the Research
Discharge Instructions for Patient with 3cm Hand Laceration
- The patient has been treated with Anti-Tetanus Serum (ATS) for a 3cm hand laceration.
- Wound care is essential to prevent infection and promote healing 2, 3, 4.
- The patient should keep the wound clean and dry, and change the dressing daily or as needed.
- The patient should monitor the wound for signs of infection, such as redness, swelling, or increased pain.
Medications
- The patient has been administered ATS to prevent tetanus infection 2, 3, 4.
- The patient may be prescribed antibiotics to prevent infection, such as tetracycline group antibiotics 2.
- The patient may be prescribed pain medication to manage pain and discomfort.
Follow-up Care
- The patient should follow up with their healthcare provider in 2-3 days to check on the wound and remove any sutures or staples.
- The patient should follow up with their healthcare provider if they experience any signs of infection, such as redness, swelling, or increased pain.
- The patient should also follow up with their healthcare provider if they experience any symptoms of tetanus, such as muscle spasms, rigidity, or autonomic instability 5, 3.
Additional Instructions
- The patient should rest their hand and avoid heavy activities or exercises that may exacerbate the injury.
- The patient should elevate their hand above the level of their heart to reduce swelling.
- The patient should monitor their temperature and report any fever or chills to their healthcare provider.