DME: compression stockings/hose

practice practical exam

what are compression stockings

• specially fitted garments designed to improve blood flow in the legs

• used to prevent or manage DVT

• apply graduated compression (tightest at ankle, looser towards upper part of leg)

what are compression socks indicated for

• relieving symptoms of existing DVT (pain, swelling)

• preventing post-thrombotic syndrome

• reducing risk of developing DVT

what are the risk factors for DVT

• age >40 years old, obesity, hereditary history of DVT

• prolonged bed rest or reduced mobility

• surgery (>30 min) especially involving pelvis or legs

• estrogen therapy (contraceptives, HRT)

• pregnancy and postpartum period

8-15 mmHg compression strength

• support wear

• no prescriptions, mild swelling, tired/aching legs, improved circulation

15-20 mmHg

• medical legwear

• no prescriptions, minor varicosities, pregnancy related swelling, DVT prevention

20-30 mmHg

• medical legwear

• prescription, moderate-severe varicosities, post-surgery, edema, venous ulcers, DVT prevention

30-40 mmHg

• medical legwear

• prescription, severe varicosities, lymphatic edema, CVI, orthostatic hypotension

40+ mmHg

• medical legwear

• prescription, severe edema, active ulcers, postphlebitic syndrome, PTS management

how to measure support wear socks (8-15 mmHg and 12-16 mmHg)

based on shoe size or height, and weight for pantyhose

how to measure medical compression socks

• based on leg circumference

• measure first thing in the morning before swelling occurs

what are key measurements to remember

• ankle circumference: smallest part above malleoli

• calf circumference: fullest part

• thigh circumference: fullest part

• hip circumference: for chap or waist-length

• length: floor to knee crease (for tall sizes or certain brands)

how to put compression socks on

1) insert hand into stocking to the heel

2) turn inside out to heel pocket

3) slide foot in carefully and align heel in pocket

4) gently ease the stocking up the leg, massage it up do not pull