Quick Overview
Categories
Scope of Practice (ScOP) Designation
Aim of Dressing
To dry out the ischaemic areas so that they don't turn into wet gangrene and causing sepsis. In this patient's particular case he has wet gangrene on the plantar side of his 2nd and 3rd toes.
Associated Care Plans
Dressing Changes (Min - Max)
Daily
Shopping List
Dressing Pack (Small)
This can be found in the small dressing pack
Biatain Foam (Non-adhesive) (10cm x 10cm)
Mepilex Heel (13cm x 20cm)
It is not recommended to wrap ischaemic areas as sweat and moisture can cause the dried areas to become we gangrene. In this case it was at the patient's insistence and the dressing was being done daily and in hospital.
Zetuvit Plus (10cm x 10cm)It is not recommended to wrap ischaemic areas as sweat and moisture can cause the dried areas to become we gangrene. In this case it was at the patient's insistence and the dressing was being done daily and in hospital.
Cotton Bandage and Crepe
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
Video Tutorial
Video Timestamps
Related Tutorials
Tutorial Steps
Swipe
Clean the toes. Making sure you clean in between the toesand remove any of the old iodine from the area.
Dry the toes and the per-wound very well.
Drench the toes forefoot in iodine paying attention to in between the toes as well as the plantar side. Do not skimp on the iodine.
ALLOW THE IODINE TO DRY completely
Once the iodine has dried place spacers of single pieces of gauze in between the toes to stop and moisture build up. We have used foam in between the 1st and second toe as there was a large gap. If you use foam in small gaps it will cause a wound to occur through pressure.
Clean and dry the heel and then paint with iodine and allow to dry.
Apply the heel protector.
If avoidable please don’t wrap up the affected limb as the moisture and sweat can make the ischemic area turn into wet gangrene. It was done at the patient’s insistence.
General Notes
What have we learnt:
1.Go pro cameras have a focal point of approx. 30cm.
2.Avoid bandaging the necrotic/ischaemic toes.