Wound Care Plan

Ischaemic Toe (Arterial Disease) – 3rd toe with first metatarsal fat pad wound

Last Updated
19 May 2025
Back

Quick Overview

Reference ID Number: TWS-WCP-30

Categories

Ischaemic Areas

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

Cease the transformation of dry gangrene to wet and aid healing to fat pad

Aim of Dressing

Dry out 3rd toe and offset the painful wound on great toe fat pad

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Vascular Team

References

Shopping List

Dressing Pack (Small),Normal Saline,Iodine (100ml) (AKA Betadine),Gauze squares,UrgoStart (10cm x 10cm),Hypafix (5cm x 10m)
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

    Photo Gallery

    Care Plans

    Necrotic 3rd toe with great toe fat pad wound

    Patient was from a nursing home and does not mobilise very much however can get out of bed for showers and other ADLs.

     Swipe 
    Step 1

    Clean the foot

    Remove all the previous betadine paint (as much as possible). This could be using normal saline or in the shower if there are no open wounds
    Products Used
    Step 2

    Prepare sterile field

    Prepare sterile field and products
    Products Used
    Step 3

    Clean fat pad wound

    Products Used
    Step 4

    Apply Urgo Start

    Apply Urgo Start and secure with Hypafix
    Products Used
    Step 5

    Paint with betadine

    Paint everything from the forefoot to the toes in betadine. There is no such thing as too much betadine. Always look out for areas are wet as these will need to be watched to make sure they don't grow
    Products Used
    Step 6

    Apply toe spacers

    Once betadine has dried around the toes apply toe spacers. This is single pieces of gauze (preferrable pressed not woven) placed in each toe spacings
    Products Used