Lower Extremity Edema
Venous ULcers

Wash lower extremity intact skin with mild, non-perfumed soap and thoroughly pat dry. Rinse open wounds with physiological solution such as sterile normal saline. Apply lotion to intact skin, if desired. Treat wound with a dressing such as Multidex® Gel for dry wounds and Multidex® Powder for draining wounds. Cover wound with appropriate non-adherent absorptive secondary dressing to help prevent maceration of periwound skin. Measure ankle circumference. 18cm circumference is necessary for DeWrap™ Dual Action Compression System to deliver recommended graduated compression. If ankle circumference is <18cm, pad the ankle with additional layers of Layer 1. Flex foot to 90° angle and maintain position throughout application of all three layers. Apply absorptive layer (Layer 1) by using spiral technique with 50% overlap. No tension is required for this layer. Cut any excess bandage to avoid overlap at the knee. Apply additional Absorptive Layer 1 around the ankle for ankle circumference less than 18cm or place over wound area for additional absorption. Apply the elastic compression layer (Layer 2) with 50% stretch/tension using figure 8 wrapping technique. Cut any excess bandage to avoid overlap at the knee. Secure with tape. Apply the cohesive layer (Layer 3) by stretching 50% and wrap using the spiral technique with 50% overlap. Discuss "warnings and risks" with the patient and caregiver.

Maximum wear time is seven days. Remove dressing using blunt bandage scissors. Dispose of soiled dressing per institution's policy. DeWrap™ Dual Action Compression System package may be used to discard soiled dressings.

Absorptive layer, elastic layer, cohesive layer

Latex-friendly