After giving a dressing with a paper point wetted with CHKM, what should be done if the patient returns with severe pain?

When a patient returns with severe pain after receiving a dressing with a paper point wetted with CHKM, opting to replace the dressing with a corticosteroid paste can effectively address the underlying issue. In cases where severe pain is reported, it often indicates inflammation or an adverse reaction to the initial dressing or the CHKM substance. Corticosteroids are known for their anti-inflammatory properties, making them suitable for reducing inflammation and alleviating pain.

Using a corticosteroid paste can help manage the discomfort experienced by the patient by providing localized relief and promoting healing. This option not only targets inflammation but also avoids more invasive measures that could be unnecessary.

Other approaches, such as replacing the dressing with a similar one or retrieving the paper point surgically, may not directly address the inflammation or pain the patient is experiencing. Additionally, providing incision and drainage is more appropriate in cases of abscess formation or infection rather than inflammation alone. Thus, the use of corticosteroid paste is the most suitable and effective initial intervention in this scenario.