need help with stasis ulcer!!Register Today!
- by Oskie06 Dec 14, '12Hello everyone. Help needed here. I have a patient with a 1.8x0.8x0.5 venous stasis ulcer. Originally places bacitracin with dressing and compression to insure no infection was present since md did not place patient on antibiotics. Then I placed a Coban 2 layer compression system. Had to stop that, patient didn't like it.. since it was bulky. After first treatment there was a lot of granulation present. So I was set that this wound would be a breeze. Well wound has haulted. Compressions have to helped. I had started to use purocal dressing in hope to stimulate healling but no luck. Going to put multidex gel next visit in hope maybe something can start happening. Any advice??
- Dec 14, '12 by CK11669Compression is key. Look up edemawear by compression-dynamics.com! Great results and compliance from pt.
- Dec 16, '12 by paradiseboundRNStatus ulcers are nearly impossible to heal. Compression is the key. Do you have a wound care clinic you can refer the pt to?
- Dec 16, '12 by erika.RNI have good luck applying aquacel AG cut to size on stasis ulcers when they are very wet. Calmoseptine to peri-wound if they are really draining. If they get necrotic santyl helps debride. I wouldn't say stasis ulcers are impossible, just time consuming & the dressings should be changed daily.
- Dec 17, '12 by somenurseQuote from CK11669Compression is key. Look up edemawear by compression-dynamics.com! Great results and compliance from pt.
How does compression help? by preventing accumulation of edema in the area?
Would you also recommend this if the patient had no edema at all?
Sorry, this is new idea to me! I did look over the edemawear by compression-dynamics. The patient would wear a torso type of girdle? Is that right?
- Feb 26 by KittyLovinRNI know this was a few months ago but I've had great luck with calcium alginate dressings with compression wraps!
- Feb 26 by traumaRUsWhat about revascularizing the extremity?
- Feb 27 by tktjRNTry iodoflex and cover with a foam adhesive pad. I use this treatment regularly with 100% success
- Feb 27 by jmn126Idoflex? Not familiar with that, can you explain...do u also use dompression? Tanks
- Feb 27 by Detroitrn59I have a patient that gets daily dressing changes. Lymph edema, stasis ulcers. The wound clinic has be doing xerform, then 1:5 vinegar solution (acetic acid?) kerlix fanned on wounds, then ABD pads followed by kerlix, and compression wraps. They are doing nicely with this combo.