KENDALL Anti Embolism Stocking Knee Length Code 7203 T.E.D. Large, Regular Length anti-embolism stockings apply the clinically proven graduated pressure pattern of 18mmHg at the ankle, 14mmHg at the calf, 8mmHg at the popliteal, 10mmHg at the lower thigh and 8mmHg at the upper thigh.It is important to measure the patient’s leg size to assure that the appropriate pressure pattern is applied.
Did you know?
According to a study by Dr. Sigel, the effect of graduated compression stockings on venous velocity lasts up to 30 minutes after removal of the stockings.
- T.E.D. anti-embolism stockings apply the clinically proven graduated pressure patternof 18mmHg at the ankle, 14mmHg at the calf, 8mmHg at the popliteal, 10mmHgat the lower thigh and 8mmHg at the upper thigh.It is important to measurethe patient’s leg size to assure that the appropriate pressure pattern is applied.
- T.E.D. anti-embolism stockings are clinically provento reduce the incidence of DVT up to 50%2 and to promote increased blood fl ow velocity in the legs 138%1 of baseline by compression of the deep venous system.
- T.E.D. anti-embolism stockings have been clinically proven to prevent the damaging effects of venous distension that occurs during surgery and hospitalization.
- Prophylaxis against deep venous thrombosis in medical and surgical patients.
- To provide graduated compression and thus increase venous blood flow in all conditions where this is indicated, including venous disorders and varicose veins.
- For use in other conditions as directed by a clinician.
You will need:
- Wall Chart
- Tape Measure
- T.E.D.™ Stocking Order Pad/Sizing Chart
- Package of Covidien T.E.D. anti-embolism stockings
Proper sizing and application must be assured for a patient to receive the optimal benefit of stockings. Refer to instructions for use in packaging for specific sizing information.
A. Thigh Length and Thigh Length with Belt (Figure I)
1. Measure upper thigh circumference at gluteal furrow. (Measurement #1)
2. Measure calf circumference at greatest dimension. (Measurement #2)
3. Measure leg length from gluteal furrow to base of heel. (Measurement #3)
4. Consult the back of this guide, wall chart or product
packaging to determine the appropriate size.
- a. If right and left legs measure differently, order two different stocking sizes.
- b. If thigh circumference is greater than 36 inches, select a knee length stocking.
- c. If calf circumference is outside the specified range of the recommended thigh length stocking based on Measurement #1, select a knee length stocking.
B. Knee Length
1. Measure calf circumference at greatest dimension. (Measurement #1)
2. Measure length from bend of knee to base of heel. (Measurement #2)
3. Consult the wall chart or back of this guide to determine the appropriate size.
- a. If right and left legs measure differently,order two different stocking sizes
- Stockings are not recommended for patients with the following:
- Any local leg condition in which stockings would interfere, such as: dermatitis, vein ligation (immediately postoperative), gangrene, or recent skin graft.
- Severe arteriosclerosis or other ischemic vascular disease.
- Massive edema of legs or pulmonary edema from congestive heart failure.
- Extreme deformity of leg.
- For sizes (XS, S, M, L) thigh circumference >25" (63.5cm) at gluteal furrow. For sizes (XL), thigh circumference >32" (81.3cm) at gluteal furrow. For sizes (XXL), thigh circumference >36" (91.4cm) at gluteal furrow.
Maintaining skin integrity with T.E.D. anti-embolism stockings while preventing DVT and/or improving vascular circulation
A. Assess Potential Risk for Altered Skin Integrity
- Altered mobility (hyperactivity or decreased mobility)
- Altered nutritional state (emaciation; albumin 3.0 g/dl)
- Altered metabolic state
- Altered skin turgor
- Altered sensation
- Altered circulation (venous or arterial)
B. Measure Patient
- DO use a measuring tape.
- DO remeasure with decrease or increase of weight. (i.e., edema).
C. Apply Stockings
- DO “walk” the stockings up the legs and use powder sparingly, if necessary, to assist with easy application.
D. Maintain Stockings Properly
- DO check for proper heel and gusset placement.
- DO remove stockings at least daily, inspect skin, provide skin care and reapply stockings.
E. Inspect Skin
- DO inspect skin* (especially ankle/ heels) at least every 8 hours and document your assessment.
- DO assess patient’s subjective report of comfort/discomfort.
F. Prevent All Sources Of Pressure, Shear, and Friction
- DO loosen linens and use bed cradles to increase patient comfort.
- DO position patient using a lift sheet, overhead trapeze, etc.
- DO keep HOB lower than 30° whenever possible.
- DO use devices or measures which suspend heels to relievepressure.
- DON’T guess size of stockings. Tight or loose fitting stockings can impact compression efficacy.
- DON’T pull or tug into place. This increases friction and shear.
- DON’T position the heel of the stocking above or below the heel. This could impact the pressure gradient.
- DON’T take stocking off for long periods of time to let the skin “breathe”. This could impact efficacy.
- DON’T massage reddened areas. This can increase tissue damage.
- DON’T rely solely on visual signs of pressure or friction. Visual signs of tissue damage may be late or absent.
- DON’T tuck linens tightly. This increases pressure over heels and tops of toes.
- DON’T pull patient up in bed dragging heels. This increases friction to heels.
- DON’T keep HOB > 30° for long periods of time. This may increase friction and shear to heels.
- DON’T turn down top of stockings.
- DON’T gather stockings in doughnut fashion.
|Large, Regular||15 - 17.5 INCH ( 38 - 44.5 CM )||INTO 18 INCH ( 46 CM )|