Angelite Nurses: Venous Stasis Ulcers

Venous Stasis Ulcers

General information

Usually a complication of thrombophlebitis and varicose veins.
Ulcers result from incompetent valves in the veins, causing high pressure with rupture of small skin veins and venules.

Medical management

Antibiotic therapy (specific to organism cultured); topical bacteriocidal solutions
Skin grafting
Enzymatic or surgical debridement

Assessment findings

Pain in the limb in dependent position or during ambulation
Skin of leathery texture, brownish pigment around ankles; positive pulses but edema makes palpation difficult.

Nursing interventions

Provide bed rest, elevating extremity.
Provide a balanced diet with added protein and vitamin supplements.
Administer antibiotics as ordered to control infection.
Promote healing by cleansing ulcer with prescribed agents.
Provide client teaching and discharge planning concerning

Importance of avoiding trauma to affected limb
Skin care regimen
Use of elastic support stockings (after ulcer is healed)
Need for planned rest periods with elevation of the extremities

Adherence to balanced diet with vitamin supplements.

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