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NECROTIC WOUNDS

Discussion in 'Teaching and Learning' started by nicola86, Jul 21, 2009.

  1. nicola86

    nicola86 Welcome New Poster


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    Hi

    i have a general scenerio question here, working in the nhs on a home visit you discover a necrotic toe. what would be the short term and long term management?

    look at medical history the underlying cause diabetes r/ha poor tissue perfusion i.e arterial bypass

    scoial history look at mobility

    physcal examination does the pt know it was present how long for
    has she felt any pain? signs for ischameic pain - cramp

    tests vascular with doppler dorsal pedis and posterior tibal
    sensation testing with monofilament to determine the cause

    dressing choice if its dry and firm to use iodoflex to minimise bacteria load

    hospital admittance? for IV antibitoics?
    referral to high risk foot ulcer clinic .. complications in terms of waiting to be seen and at times pt may have problem with mobility and transport to go at a regular basis to a high risk clinic?

    thanks
     
  2. l.heys

    l.heys Member

    Hi Nicola,

    In my clinical opinion, any sign of critical limb ischaemia, then I would send the patient to hospital A&E ASAP.

    Tish
     
  3. Johnpod

    Johnpod Active Member

    Hi Nicola, I would agree with Tish -

    short term - immediate referral

    long term - depends on the underlying problem and treatment applied.
     
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