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Category: Bandages
Deroyal DeWrap Three-Layer Compression System

Deroyal DR46333 DeWrap Three-Layer Compression System
Our Price: $22.38

  • Three-layer compression system that delivers sustained, graduated compression for lower extremities
  • Provides recommended level of compression (30-40mmHg) to improve calf pump function
  • Reduces venous hypertension and aids in healing venous ulcerations
  • 7 day wear time
  • Three latex safe layers:
    • Absorptive layer - Conformable, breathable, pads bony prominences and absorbent
    • Elastic Layer - Comfortable and conformable, easy to apply; provides breathability and graduated pressure
    • Cohesive layer - Self adhering to secure bandage system, providing graduated compression for 7 day wear time
  • Can be used with other primary or secondary dressings
  • Indications:  Venous insufficiency, Lower extremity edema, Venous leg ulcers
  • Non-sterile
  • Directions
    • 1. Wash lower extremity intact skin with mild, non-perfumed soap and thoroughly pat dry. Rinse open wounds with physiological solution such as Sterile Normal Saline. Apply lotion to intact skin, if desired.
    • 2. Treat wound with a dressing such as Multidex Gel for dry wounds and Multidex Powder for draining wounds.
    • 3. Cover wound with appropriate non-adherent absorptive secondary dressing to help prevent maceration of peri-wound skin.
    • 4. Measure ankle circumference. Eighteen centimeter circumference is necessary for DeWrap to deliver recommended graduated compression. If ankle circumference is <18 cm, pad the ankle with additional layers of Layer 1.
    • 5. Flex foot to 90 degrees and maintain position throughout application of all three layers.
    • 6. Apply absorptive layer (Layer 1) by using spiral technique with 50% overlap. No tension is required for this layer. Cut any excess bandage to avoid overlap at the knee. Apply additional Absorptive Layer 1 around the ankle for ankle circumference less than 18 cm or place over wound area for additional absorption.
    • 7. Apply the elastic compression layer (Layer 2) with 50% stretch/tension using Figure 8 wrapping technique. Cut any excess bandage to avoid overlap at the knee. Secure with tape.
    • 8. Apply the cohesive layer (Layer 3) by stretching 50% and wrap using the spiral technique with 50% overlap.
    • 9. Discuss "warnings and risks" with the patient and caregiver.
    • 10. Maximum wear time is 7 days. Patients with severe edema and wound drainage may require more frequent dressing changes until edema iscontrolled.
    • 11. Remove dressing using blunt bandage scissors. Dispose of soiled dressing per institution’s policy. DeWrap package may be used to discard soiled dressings.
  • Warning & Risks
    • DeWrap 3 Layer Compression System should not be used for the management of lower extremity edema or ulcers associated with diabetes, congestive heart failure, cancer related lymphedema or arterial insufficiency. DeWrap should NOT be used on patients with an ankle brachial index (ABI) less than 0.8 or other diagnostic results or symptoms that suggest arterial insufficiency. Multi-layered compression devices may further restrict blood flow in an arterial compromised patient and could lead to death of the tissue, limb necrosis, amputation or death.
    • Patients should be instructed to remove DeWrap immediately if the foot or toes become pale, numb (tingling sensation), painful and/or cool to the touch. These signs may suggest the compression device may have compromised arterial blood flow.
    • DeWrap should always be applied by a trained health care provider. Incorrect application of DeWrap may result in inappropriate levels of compression. Low levels of compression will not provide adequate level of compression to manage lower extremity edema whereas high levels of compression may interfere with arterial blood flow to the distal extremity. 
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