• Leeahna Grier,LPN

Lower Extremity Compression Dressing

It is important when applying a lower extremity compression dressing to begin with a emollient based topical that will promote healing as well and relieve tenderness. In this image the cream seen is "Dermaka". Once the leg is coated well, applied track direct pressure to the areas treated with phlebectomy and or laser ablation is important to directly control bleeding. This is accomplished by rolling cast padding in long strips and implementing along the path of the leg that received surgical treatment. Next the leg receives ABD pads to absorb any drainage and provide cushioning. The wrapping are next, first the use of Kerlix is applied. It is important to insure that the kerlix completely covers the leg without gaps in coverage exposing the skin. Next is coban, this stage of wrapping is easy to make too tight. Avoid pulling the wrapping when circling the leg with coban. The final wrap is a cloth ace bandage. I prefer to use a 4" first and start at the foot this offers a more size appropriate wrap for the foot and ankle area. The 6" cloth ace bandage is then implemented around the knee area if needed for taller patients and continued to the top of the leg and hip area. Again avoid over pulling in the upper thigh area to prevent flow from the main junctions. To secure the wrapping My preference over clips is the use of safety pins, clips are more apt to come loose when the patient is sleeping. The pins are then taped flat to the wrap to avoid becoming snagged on elements with silk tape.

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