Wound Care Plan

Arterial Ulcer

Last Updated
19 May 2025
Back

Quick Overview

Reference ID Number: TWS-WCP-06

Categories

Arterial Ulcers

Scope of Practice (ScOP) Designation

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

Treatment Goals

To remove arterial blockages which are causing the arterial ulcers and then provide a moist environment for wound healing

Aim of Dressing

To provide a moist wound healing environment to allow for granulation tissue to form

Frequency of Dressing Change

2 Days(s) Min - 7 Days (Max)

Consult(s) / Diagnostic Test Required

Arterial Duplex, Angiogram (after Vascular Surgery Consult) +/- Stenting/Ballooning

References

Shopping List

Dressing Pack (Small),Aquacel Ribbon (2cm x 45cm),Zetuvit Plus (10cm x 10cm),Cotton Bandage and Crepe
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

    Aterial Ulcer - not actively bleeding

    After an angioplasty +/- stent or ballooning has occurred enough blood flow to the ulcerated area is being supplied to allow healing to occur. Usually the surgeons will debride at the time of the angioplasty. To start active wound care treatment on a patient with arterial insufficiency is in many cases not realistic.

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare your sterile field with your sterile products
    Products Used
    Step 2

    Clean wound bed

    Clean the wound bed thoroughly removing any old clots from the initial debridement at the time of angioplasty
    Products Used
    Step 3

    Apply aquacel ribbon

    apply aquacel ribbon. if more than 2 ribbons are required you will need to tie them together and document.
    Products Used
    Step 4

    Apply Zetuvit

    Products Used
    Step 5

    Secure

    Use either cotton bandage and crepe or tubifast or tubular form
    Products Used

    Arterial Ulcer - Actively Bleeding

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare your sterile field with your sterile products
    Products Used
    Step 2

    Clean wound bed

    Clean the wound bed thoroughly DO NOT remove any old clots from the initial debridement at the time of angioplasty
    Products Used
    Step 3

    Apply keltostat

    Pack keltostat into the wound. Please be aware that it will shrink when it comes into contact with liquid so slightly over pack. This will also aid in apply pressure to the wound base.
    Products Used
    Step 4

    Apply Zetuvit

    monitor zetuvit for excessive amounts of blood. Try to avoid removing but try and reinforce with increase in digital pressure or cotton bandage and crepe
    Products Used
    Step 5

    Secure

    Use cotton bandage and crepe to get pointed pressure over the wound bed. Please do neurovascular observations to make sure a torniquet effect is not occurring.
    Products Used