Wound Care Plan

Ischaemic Toe (Arterial Disease) – Betadine paint and gauze spacers

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-31

Categories

Scope of Practice (ScOP) Designation

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

Treatment Goals

To prevent wet gangrene occurring and allow demarcating or amputation to occur

Aim of Dressing

Dry out the toe

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Contact Vascular Team, MRI, Toe pressures

References

Shopping List

Iodine (100ml) (AKA Betadine),Gauze squares
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

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    Care Plans

    Single isolated toe amoungst other toes

    Although the treatment is the same with all toes the danger with a toe that is situated between other toes is that skin breakdown or a an infection can occur between the toes and cant be readily seen.

     Swipe 
    Step 1

    Clean the foot

    Clean the foot and this mean 'flossing' between each toe to remove cellular debris. Dry the feet VERY WELL
    Products Used
    Step 2

    Paint the whole FOREFOOTq

    Don't be afraid. Paint like you are a 5 year old. Paint the whole forefoot and between the toes with iodine. ALLOW TO DRY FOR 5 MIN.
    Products Used
    Step 3

    Place gauze spacers

    Place (if possible) pressed gauze (only 1 piece) inbetween each toe. If patient is mobilising place tubular form over the foot. Avoid wrapping the foot as it will get macerated which leads to wet ganrgene.
    Products Used