Color duplex ultrasonography is recommended in patients with venous ulcers to assess for venous reflux and obstruction. However, the dermatologic and vascular problems that lead to the development of venous stasis ulcers are brought on by chronic venous hypertension that results when retrograde flow, obstruction, or both exist. By. Venous stasis ulcers are often on the ankle or calf and are painful and red. Evidence-based treatment options for venous ulcers include leg elevation, compression therapy, dressings, pentoxifylline, and aspirin therapy. They also support healthy organ function and raise well-being in general. Compression therapy is a standard treatment modality for initial and long-term treatment of venous ulcers in patients without concomitant arterial disease. These actions are intended to improve overall muscle tone and strength, as well as boost venous return from the lower extremities and decrease venous stasis. 2016 AHA/ACC Guideline on the Management of Patients With Lower Venous leg ulcers are open, often painful, sores in the skin that take more than 2 weeks to heal. Patients who are severely malnourished (serum albumin 2.5 mg/dl) are more likely to acquire an infection from a pressure ulcer. Patients typically experience no pain to mild pain in the extremity, which is relieved with elevation. Pressure Ulcer Nursing Care Plans Diagnosis and Interventions Pressure Ulcer NCLEX Review and Nursing Care Plans Pressure ulcers, sometimes called bedsores or Decubitus ulcers, are skin and tissue breakdown that arises from exertion of incessant pressure to the skin. The term bedsores indicate the association of wounds with a stay in bed, which ignores the potential occurrence . Venous ulcers commonly occur in the gaiter area of the lower leg. Mechanical debridement (wet-to-dry dressings, pulsed lavage, whirlpool) has fallen out of favor. Slough with granulation tissue comprises the base of the wound, with moderate to heavy exudate. These measures facilitate venous return and help reduce edema. Further evaluation with biopsy or referral to a subspecialist is warranted for venous ulcers if healing stalls or the ulcer has an atypical appearance. . Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. Venous Ulcer Assessment and Management: Using the Updated CEAP Pentoxifylline (Trental) is an inhibitor of platelet aggregation, which reduces blood viscosity and, in turn, improves microcirculation.
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