Quantcast Nursing Management of the Patient with Extremity Casts - Nursing Care Musculoskeletal System

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
(3)  Lean down and smell the cast to detect odors indicating tissue damage.
A musty or moldy odor at the surface of the cast may be the first indication that necrosis
from pressure has developed underneath.
(4)
Check the integrity of the cast by looking for cracks, breaks, and soft
spots.
b. The casted body part must be examined and assessed frequently in order to
prevent complications. Assess the casted part by checking the following.
(1)  Assess circulation by performing the blanching test and comparing the
skin temperature and blanching reaction of the affected limb to that of the unaffected
limb.
(2)  Assess the presence of sensation in the affected limb by touching
exposed areas of skin and instructing the patient to describe what he felt.
(3)  Assess the motor ability of the affected limb by having the patient wiggle
his fingers or toes.
c. Patient education will do much to prevent complications. Instruct the patient
to do the following.
(1)  Avoid resting cast on hard surfaces or sharp edges that may dent the
cast and cause pressure areas.
(2)  Never use a coat hanger or other foreign object to "scratch" inside the
cast. This may cause skin damage and infection.
(3)  Report any danger signs to the nursing staff immediately. Danger signs
include pale, cold fingers or toes, tingling, numbness, increased pain, pressure spots,
odor, or feeling that the cast has become too tight.
(4)
Report any damage to the cast such as cracks, breaks, or soft spots.
(5)
Never attempt to remove or alter the cast.
1-21. NURSING MANAGEMENT OF PATIENTS WITH EXTREMITY CASTS
a. After a leg cast is applied, prevent or alleviate swelling by elevating the
extremity above the level of the heart. After the patient begins to ambulate, he should
be encouraged to elevate the casted extremity when he is seated or resting in bed.
b. To control swelling with an arm cast, elevate the extremity on pillows or
suspend in stockinet from an IV pole when the patient is lying or sitting. When the
patient is ambulatory, a sling may be used for support. The type of sling required will
MD0916
1-24



Medical News
Kids allowed to 'sip' alcohol may start drinking earlier
Children who get a taste of their parents' wine now...
medicalxpress.com
Innovative strategies needed to address the US transplant organ shortage
As the United States faces transplant waiting lists that continue...
medicalxpress.com
Scientists find clues into cognitive dysfunction in chronic fatigue syndrome
Scientists at Columbia University's Mailman School of Public Health have...
medicalxpress.com
Ob/Gyn experts recommend 'ultrasound first' for imaging the female pelvis
Ultrasound technology has evolved dramatically in recent years. A group...
medicalxpress.com
Intelligent neuroprostheses mimic natural motor control
Neuroscientists are taking inspiration from natural motor control to design...
medicalxpress.com
E-cigarettes are being accessed by teenagers who are both smokers and non-smokers
One in five teenagers in a large survey has accessed...
medicalxpress.com
2015 match sees high proportion of unmatched seniors
(HealthDay)—About 6.1 percent of U.S. allopathic medical school seniors in...
medicalxpress.com
Recommendations for point-of-care ultrasound in peds ER
(HealthDay)—Pediatric emergency medicine (PEM) physicians should be trained in point-of-care...
medicalxpress.com
US pediatricians remain opposed to random drug tests in schools
(HealthDay)—Random drug testing in schools may sound like a good...
medicalxpress.com
Eating fruits and vegetables with high pesticide residues linked with poor semen quality
The first study to investigate the relationship between eating fruit...
medicalxpress.com
Synthetic pot linked to kidney injury
(HealthDay)—New research suggests that synthetic marijuana, also known as K2...
medicalxpress.com
Pharmacists' group discourages providing execution drugs
The American Pharmacists Association on Monday adopted a policy that...
medicalxpress.com
Lots of leafy greens might shield aging brains, study finds
(HealthDay)—A single serving of leafy green vegetables each day may...
medicalxpress.com
Processed foods the biggest chunk of calories in US groceries: study
(HealthDay)—Highly processed foods account for more than 60 percent of...
medicalxpress.com
Broken Safeguards to Overuse: HealthLeaders Media
(MedPage Today) -- 97% of ED docs admit to ordering...
medpagetoday.com
Disease Activity May Not Be Only Driver of Fatigue in RA
(MedPage Today) -- 'Constellation of factors,' including poor sleep quality,...
medpagetoday.com
“Cancer will always be in our midst:” A conversation with physician-writer Siddhartha Mukherjee
Tonight PBS television airs its new documentary Cancer: The Emperor...
scopeblog.stanford.edu
Scientists link unexplained childhood paralysis to enterovirus D68
A research team led by UC San Francisco scientists has...
medicalxpress.com
Milliliter-only dosing recommended for kids' meds
(HealthDay)—Time to toss out the teaspoon and tablespoon when it...
medicalxpress.com
Breast cancer is not one disease, experts say
(HealthDay)—Breast cancer isn't the same for every woman, even at...
medicalxpress.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 +