Home Cast Care
dry it with blow dryer on the cold setting
what is action if cast gets wet?
less common in this age group
what is infants and young children?
to prevent complications of prolonged immobility
what is early mobilization following surgery?
to ensure that the patients skin will not be cut
what is use of scissors when removing protective padding of cast?
purpose of listening to bowel sounds during immobility
20-30 mins then off for 1-2 hours, repeat
what is cold therapy?
strong suspicion of abuse
what is spiral fractures?
what is flexing hip greater than 90°?
to help reduce this reaction with body/spica cast
what is administering pain/anti-anxiety medications?
educate patient that this OTC increases risk of bleeing
what is NSAIDs?
cannot move fingers or toes, fever greater than 101.5°, complaints of rubbing or burning under cast
what are reasons to call the physician/NP?
reliable indicator of fracture in children
what is point tenderness?
instructs the patient to flex unaffected hip and to use the trapeze to lift the pelvis
what is correct use of fracture bedpan?
complaints of abdominal discomfort & distention, nausea/vomiting
what are s/s of physiologic cast syndrome?
might hurt worse than the break
what are muscle spasms?
to prevent cast from getting wet
what is applying a plastic bag over cast?
allows the greater absorption of force
what is bones of children? (thick, strong periosteum)
prevent adduction beyond midline of the body
what is use of abduction pillow, wedge pillow, or 2-3 pillows between legs?
to avoid more damage to extremity in ED
what are clothes are gently removed - from uninjured side than from injured side?
teaching client how to do ADLs while being immobilized
what is promoting independence?
wipe clean with slightly damp clean cloth
what is proper cleaning of a soiled cast?
using age appropriate approaches and imaginary play
what is reducing fear of children?
preventing development of pressure ulcer
what is supporting the heel off of bed?
6 P's
what is pain, pallor, poikilothermia, paresthesia, pulselessness, and paralysis?
these must be intact for mobility to happen
what are electrolytes?