Quantcast General Nursing Management of the Patient with a Cast - Nursing Care Musculoskeletal System

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
(1)
Make a shallow groove to indicate the cutting lines on both sides of the
cast.
(2)  Apply water or peroxide along the cutting lines to soften the plaster. Use
a syringe to apply.
(3)  With the knife, cut through the layers of plaster along the cutting line. Do
not attempt to slice through all layers at once and do not use the knife to cut through the
base material.
(4)  With the bandage scissors, cut through the base material down to the
skin. Cut every thread of the lining material completely through since the lining is
sometimes the source of the trouble.
(5)  Use tape or an elastic bandage to loosely hold the bivalve cast together
in order to maintain support of the casted part until further instructions are obtained.
b. Windowing the Cast. This procedure is done on specific order of the
physician. It is a potentially dangerous procedure because the underlying tissue may
bulge through the window opening, causing "window edema." If a window is cut, the
piece of plaster removed should be saved.
(1)
The physician indicates the area to be windowed.
(2)  The physician or orthopedic technician cuts the window, usually a
square or rectangular area, out of the cast. Once the plaster has been cut out, the
lining material is carefully cut away from the skin.
(3)  After the physician examines and treats the underlying area, a dressing
may be applied over the exposed skin area and the cutout piece of plaster bound in
place again. Replacing the cutout plaster section will prevent window edema.
1-20. GENERAL NURSING MANAGEMENT OF THE PATIENT WITH A CAST
a. Although a patient with an arm or leg cast is much more self-reliant than a
patient in a body or spice cast, it is a nursing responsibility to monitor all patients and
assist as needed. Nursing management includes the following actions to assess the
effectiveness of the cast.
(1)  Check the edges of the cast and all skin areas where the cast edges
may cause pressure. If there are signs of edema or circulatory impairment, notify the
charge nurse or physician immediately.
(2)  Slip your fingers under the cast edges to detect any plaster crumbs or
other foreign material. Move the skin back and forth gently to stimulate circulation.
MD0916
1-23



Medical News
Many not treated according to 2013 cholesterol guidelines
(HealthDay)—Many patients are not being treated in accordance with the...
medicalxpress.com
Diabetes and nutrition: Why healthy eating is a key component of prevention and management
The prevalence of type 2 diabetes is expected to rise...
scopeblog.stanford.edu
Statins not tied to women's gonado-sexual dysfunction
(HealthDay)—Statin use is not associated with higher risk of gonado-sexual...
medicalxpress.com
Most seniors eligible for statin Rx under new guidelines
(HealthDay)—Most older Americans qualify for treatment with statins under new...
medicalxpress.com
Mere expectation of treatment can improve brain activity in Parkinson's patients
Learning-related brain activity in Parkinson's patients improves as much in...
medicalxpress.com
Obstructive sleep apnea treatments may reduce depressive symptoms
Treatment for obstructive sleep apnea with continuous positive airway pressure...
medicalxpress.com
Diagnostic criteria developed for cancer-linked weight loss
(HealthDay)—A grading system has been developed for clinically important weight...
medicalxpress.com
Profilin can induce severe food-allergic reactions
(HealthDay)—Profilins are complete food allergens in food-allergic patient populations that...
medicalxpress.com
Sierra Leone Ebola burial teams dump bodies in street
Burial workers in eastern Sierra Leone were sacked Tuesday after...
medicalxpress.com
ER visits on the rise, study reports
(HealthDay)—The number of emergency department visits in the United States...
medicalxpress.com
Ethiopia hopes to set world record for HIV tests
Ethiopia is attempting to set a world record for the...
medicalxpress.com
Facing health law hikes, consumers mull options
Consumers across most of America will see their health insurance...
medicalxpress.com
Chinese-built Ebola center dedicated in Liberia
China, one of the first countries to send aid to...
medicalxpress.com
Doctor behind 'free radical' aging theory dies
The scientist who developed the most widely accepted theory on...
medicalxpress.com
New toolkit to aid implementation of fracture liaison services
Health authorities worldwide are coping with rising costs and disability...
medicalxpress.com
A link between DNA transcription and disease-causing expansions
Researchers in human genetics have known that long nucleotide repeats...
medicalxpress.com
Pelzman's Picks: Interesting Reads in Primary Care
(MedPage Today) -- CVD prevention polypill, staff getting punched in...
medpagetoday.com
Vegetable oil ingredient key to destroying gastric disease bacteria
The bacterium Helicobacter pylori is strongly associated with gastric ulcers...
medicalxpress.com
Homeless, mentally ill women face vicious cycle in India
An award-winning study by a Loyola University Chicago Stritch School...
medicalxpress.com
RSNA Looks Back at 100 Years
(MedPage Today) -- Centennial meeting focuses on the past and,...
medpagetoday.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +