Cellulitis – Leg Blisters

Blistering to whole legs

Swelling of the leg is frequently inflammatory rather than related to venous insufficiency. Cotton and crepe bandaging are used to avoid focal pressure that may lead to blister rupture. Blister lancing practices differ between clinicians. Larger blisters may be multiloculated, which can restrict complete drainage due to internal septations. Some people lance blisters other people don't. In large blisters you may find the blister is made up of many smaller ones. This will inhibit your ability to drain the blister.

Step 1

Clean legs

Cleansing of the legs may be performed in the shower or at the bedside as appropriate.

Products Used

Step 2

Setup sterile field

Prepare a sterile field and arrange all sterile products using aseptic technique.

Products Used

Dressing Pack (Small),Jelonet Roll (15cm x 2m)

Step 3

Grab a friend

Use a second staff member to support leg elevation to maintain safe manual handling practice.

Products Used

Step 4

Don't forget the foot

Perform a full assessment of the foot. A burst blister is noted on a toe; apply Betadine, allow to dry completely, and cover with a non-adherent dressing.

Products Used

Iodine (100ml) (AKA Betadine)

Step 5

Wrap the leg

Apply a single layer of Jelonet roll to the leg.

Products Used

Jelonet (10cm x 10cm)

Step 6

Wrap the leg (part 2)

Apply Zetuvit and then wrap the leg with cotton bandage at 50% overlap, followed by a crepe bandage. A wide crepe bandage is preferred.

Products Used

Cotton Bandage and Crepe,Zetuvit Plus (20cm x 40cm)

Step 7

Elevate those legs

Position the patient with legs elevated, either in bed or supported on a leg rest when seated.

Products Used