Smith & Nephew Viscopaste PB7 Zinc Paste Bandage

More About Viscopaste PB7

Precautions:

• Where venous insufficient exists, it may be used under graduated compression bandaging.
• The use of Doppler ultrasound is recommended for this purpose.
• It should not be used on patients who have arterial disease ABPI less than 0.8.
• It is not recommended for use on diabetic patients with advanced small vessel disease.
• Failure to detect reduced arterial flow can result in pressure necrosis, amputation or even death .
• The risk of a patients having venous disease or arterial disease rises with age.
• The skin of leg ulcer patients is easily sensitized to topical medicaments including preservations .
• Sensitization should be suspected in patients, particularly when there is deterioration of surrounding skin.
• Such patients should be referred for specialist consult.
• Should not be used in known cases of sensitivity or allergy to any of the ingredients.
• One of the functions of occlusive bandages is to increase absorption. Care should be taken, therefore, if it is decided to apply topical steroid, anaesthetic or retinoid preparations under the bandage, as their absorption may be significantly increased, leading to a shorter duration of effect with an anaesthetic product.
• Where venous insufficiency exists, VISCOPASTE PB7 should be used under graduated compression bandaging, after first assessing the patient to exclude arterial disease. The use of Doppler ultrasound is recommended for this purpose. 
• Failure to detect reduced arterial flow can result in pressure necrosis, amputation, or even death. The risk of a patient having arterial as well as venous disease rises with age.

How to apply Viscopaste PB7?

• There are two ways that the bandage can be applied:
  - Beginning at the base of the toes, the bandage should be loosely wrapped around the foot, heel and around the leg in a spiral fashion to just below the knee. Once applied, the bandage should then be smoothed and moulded around the leg.
  - Beginning at the base of the toes, the bandage should be loosely wrapped around the foot and heel and then, whilst wrapping from the ankle, with every pleat, at the front of the leg. This should be repeated up the leg until just below the knee. Compression bandaging may follow.
• Once Viscopaste PB7 has been applied, the leg should be covered by a bandage or dressing to prevent soiling to clothes

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