Leg Ulcers Flashcards
What type of leg ulcers are the majority of leg ulcers?
Venous
What type of pain is associated with venous ulcers?
Neuropathic pain
Is ulcer on foot more likely to be venous or arterial?
Arterial
Which type of ulcer (arterial/venous) is more superficial?
Venous
Which type of ulcer (arterial/venous) is more deep?
Arterial
What does ABPI measure?
Ankle/brachial pressure index:
Ratio between ankle and brachial systolic
What ABPI ratio is considered normal?
0.8 - 1.3
What does an ABPI of
Vascular disease
What does an ABPI of > 1.5 suggest?
Calcification
When would you would swab a leg ulcer?
ONLY if there’s signs of infection
Increasingly painful/ exudative/ smelly/ enlarging
Why is it so important to manage the patient’s pain in treating a leg ulcer?
If pain not controlled, patient won’t tolerate compression
How many layers of compression bandaging are there for leg ulcers?
4
Name 2 de-sloughing agents:
Hydrogel
Honey
What shape is 4 layer bandage padded to on leg?
Cone shape
Within how many weeks do we aim to heal leg ulcers by?
12 weeks
What does “SIGN 120” say?
“All patients with chronic venous leg ulcer should have an ABPI performed prior to treatment”
“Measurement of ABPI should be performed by appropriately trained practitioners who should endeavour to maintain their skills”
“Compression should only be applied by staff with appropriate training”
Why is it so important to apply compression correctly, by a trained nurse?
Due tot the risk of compression damage
Treatment for venous eczema:
Topical steroids, compression
Which type of ulcers (arterial or venous) tend to have a shallow edge?
Venous ulcers
Which type of ulcers (arterial or venous) tend to be more “punched out”?
Arterial ulcers
What type of ulcer (arterial or venous) is more likely to be found around the malleolus?
Venous
What type of ulcer (arterial or venous) is more likely to be found around the toes?
Arterial
How does one treat a BCC usually?
Excision
Which ulcers normally develop around the malleoli
Venous ulcers
Which ulcers often present on the feet, especially around pressure sites such as the heel?
(2)
Diabetic ulcers and Arterial ulcers
What paste is used as a barrier cream?
What colour is it?
Zinc paste
White
