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Cast Application 1

1. Casts are used to immobilize fractures and provide stabilization of unstable joints. 2. There are different types of casts including long arm, short arm, short leg, and long leg casts. 3. Cast materials include plaster of Paris which dries in 1-3 days and fiberglass which dries faster in 20-30 minutes. 4. General nursing care of casts includes keeping them elevated and dry, monitoring for complications, and encouraging range of motion exercises.

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Yanumy limb
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1K views11 pages

Cast Application 1

1. Casts are used to immobilize fractures and provide stabilization of unstable joints. 2. There are different types of casts including long arm, short arm, short leg, and long leg casts. 3. Cast materials include plaster of Paris which dries in 1-3 days and fiberglass which dries faster in 20-30 minutes. 4. General nursing care of casts includes keeping them elevated and dry, monitoring for complications, and encouraging range of motion exercises.

Uploaded by

Yanumy limb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Nursing Management

CAST
 Immobilizing tool made of plaster of
Paris or fiberglass
 Provides immobilization of the fracture
Nursing Management
CAST: types
1. Long arm
2. Short arm
3. Short leg
4. Long leg
5. Spica
6. Body cast
Casting Materials
 Plaster of Paris
 Drying takes 1-3 days
 If dry, it is SHINY, WHITE, hard and
resistant
 Fiberglass
 Lightweight and dries in 20-30 minutes
 Water resistant
Cast application
1. TO immobilize a body part in a
specific position
2. TO exert uniform compression to
the tissue
3. TO provide early mobilization of
UNAFFECTED body part
4. TO correct deformities
5. TO stabilize and support unstable
joints
Nursing Management
CAST: General Nursing Care
 1. Allow the cast to air dry (usually
24-72 hours)
 2. Handle a wet cast with the
PALMS not the fingertips
Nursing Management
CAST: General Nursing Care
 3. Keep the casted extremity
ELEVATED using a pillow
 4. Turn the extremity for equal
drying. DO NOT USE DRYER for
plaster cast
 Encourage mobility and range of motion
exercises
Nursing Management
CAST: General Nursing Care
5. Petal the edges of the cast to
prevent crumbling of the edges
6. Examine the skin for
pressure areas and Regularly
check the pulses and skin
Nursing Management
CAST: General Nursing Care
7. Instruct the patient not to
place sticks or small objects
inside the cast
8. Monitor for the following: pain,
swelling, discoloration, coolness,
tingling or lack of sensation and
diminished pulses
Nursing Management
CAST: General Nursing Care
 Hot spots occurring along the cast
may indicate infection under the cast
CAST REMOVAL

Cast removal is done by bivalving


(bivalve) the cast, or cutting the cast in half
longitudinally
Common Complications of Casts:

 pain in the casted extremity, including the


feeling of "pins and needles“
 Compartment syndrome
 Pressure ulcers
 Disuse syndrome
 coldness in an extremity
 a sensation that the cast is too tight
 skin irritation where the cast meets the body
 rarely, infections.

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