Discharge Instructions for 1-Year 8-Month-Old with Palm Laceration Repaired with Glue
Keep the wound clean and dry for 5-7 days to allow proper healing of the glued laceration.
Wound Care
- Keep the glued area clean and dry for the first 24-48 hours
- Avoid soaking the hand in water (no prolonged baths or swimming) for 5-7 days
- For bathing, quick showers or sponge baths are preferred to minimize water exposure
- Gently pat the area dry if it gets wet; do not rub
- Do not apply any creams, lotions, or ointments to the glued area as they can dissolve the adhesive
Activity Restrictions
- Limit activities that could cause the wound to reopen for 5-7 days
- Avoid rough play that might put pressure on the palm
- For a child this age, consider using distraction techniques when they try to touch or pick at the glue
Pain Management
- Use acetaminophen (Tylenol) as needed for pain according to package instructions for the child's weight
- Avoid NSAIDs like ibuprofen if possible due to potential increased bleeding risk 1
Signs of Infection to Watch For
- Increased redness, swelling, or warmth around the wound
- Pus or unusual drainage from the wound
- Fever
- Increased pain or tenderness
- Foul odor from the wound site
Follow-Up Instructions
- Schedule a follow-up appointment in 7-10 days to check healing progress 1
- The tissue adhesive will naturally slough off in 5-7 days; do not attempt to remove it
When to Seek Immediate Medical Attention
- If the wound reopens
- If signs of infection develop (as listed above)
- If the child develops a fever
- If there is bleeding from the wound site
Special Considerations for Toddlers
- Use tubular bandages or loose mittens if the child constantly picks at the wound
- Keep fingernails short to prevent scratching of the wound
- Provide age-appropriate explanations about not touching the "special glue" on their hand
- Use distraction techniques during wound care to reduce anxiety 1
Remember that proper wound care in the first week is crucial for optimal healing and to minimize scarring. The tissue adhesive provides a waterproof barrier that helps protect against infection while the wound heals.