Can an Ace Bandage be used for an ulcer?

[HappyRN3, BSN]

I have a question about an arterial heel ulcer. If a duoderm bandage is placed on the heel, can an Ace Bandage be utilized to wrap the heel up to the knee? I asked a more seasoned nurse why and she said rudely because it's an arterial ulcer. Everywhere i have read says it is not a good idea. Of course she didn't have any other explanation because she is not a certified wound nurse, just someone who is just filling in. So over the defensiveness when politely asked a question.

[amoLucia]

I found the answer - just googled it under "ACE bandage and arterial circulation". Interesting read!!!

[Candogal]

Sorry, I'm a bit late but yeah to simplify if it's arterial then it already has a decreased blood flow so compression would only make it worse. Compression is good for venous ulcers because the veins don't work well so compression helps push the fluid out of the legs. There are many different types of compression dressings- however I would get a doctors order because you have to make sure there are no medical issues likea history of congestive heart failure and to make sure that the arterial brachial index is acceptable. The last thing you'd want is to compress someone and have them die because they now have all that extra fluid from their legs sent right back to their already overworked heart. Sorry the nurse wasn't helpful you were only trying to help your patient.

[Jensmom7, BSN, RN]

Impaired peripheral circulation isn't cut and dried. Most people with advanced disease have a combination of venous and arterial insufficiency.

That being said, anyone with a lower extremity wound (general rule of thumb-wounds from knees to ankles are usually venous, from ankles to toes are usually arterial) definitely needs Dopplar studies before a decision is made as to treatment modality.

Any type of compression needs to be watched carefully, as I'm sure you've learned from your research. Ace wraps are tricky because it's difficult to regulate the amount of pressure being applied, and some are under the mistaken impression that tighter=better.

Nope.