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Wound Care Plan

Cellulitis – with pitting oedema and no blisters

Last Updated
15 April 2026
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Quick Overview

Reference ID Number: WL-WCP-68

Categories

Cellulitis

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

o support skin integrity of the limbs and reduce the risk of further skin breakdown.

Aim of Dressing

To support a moist wound healing environment for areas of breakdown while slowly managing pitting oedema and enabling antibiotics to act effectively.

Frequency of Dressing Change

2 Days(s) Min - 7 Days (Max)

Consult(s) / Diagnostic Test Required

Arterial and Venous Duplex

References

Shopping List

Dressing Pack (Small),Normal Saline,Inadine (10cm x10cm),Mepilex Border Flex Lite (10cm x 10cm),Urgo K2 lite (20mmhg compression) – 25-32cm
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

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    Care Plans

    Clean the legs

    The patient has established bilateral lower limb cellulitis with pitting oedema and is unable to maintain bed-based leg elevation, requiring sitting out of bed.

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    Step 1

    Clean their legs

    Where feasible, support the patient to shower and perform thorough lower-limb cleansing with a pH-neutral soap.
    Products Used
    Step 2

    Apply inadine

    Clean the wound using normal saline and cover with two layers of Inadine.
    Products Used
    Step 3

    Apply mepilex border

    Use Mepilex Border to manage wound exudate and prolong compression dressing wear time while avoiding bulky secondary dressings.
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    Step 4

    Wrap the legs

    Apply cotton bandage using approximately 50% overlap, ensuring the printed oval indicators are appropriately stretched to form ovals, then apply the orange compression bandage in the same manner.
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    Acute Management (B)

    If the patient is unable to tolerate compression bandaging us the follow alternative

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    Alternative step

    Acute management (a)

    Complete all steps in 'Acute management (a)' except 'Step 4'
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    Step 4

    Measure for tubular bandage

    Measure the patient’s calf, ankle, and forefoot circumferences and select appropriately sized tubular bandages. Two to three different sizes may be required. Apply each section with approximately 2 cm overlap. If tolerated, apply a second layer in the same manner.
    Products Used
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