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    Cast Care

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    rnrmmanphd
    This document provides information on various types of casts used to immobilize different parts of the body. It lists 30 different casts and their indications, such as short arm circular casts for the wrist and fingers or long leg casts for the tibia and fibula. It also provides nursing responsibilities when caring for a patient in a cast, such as performing neurovascular assessments and monitoring for signs of infection or pressure. Patients are taught how to properly care for their cast and when to notify nurses of any issues.

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    Cast Care

    Uploaded by

    rnrmmanphd
    325 views4 pages
    This document provides information on various types of casts used to immobilize different parts of the body. It lists 30 different casts and their indications, such as short arm circular casts for the wrist and fingers or long leg casts for the tibia and fibula. It also provides nursing responsibilities when caring for a patient in a cast, such as performing neurovascular assessments and monitoring for signs of infection or pressure. Patients are taught how to properly care for their cast and when to notify nurses of any issues.

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    Original Title

    CAST CARE

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    This document provides information on various types of casts used to immobilize different parts of the body. It lists 30 different casts and their indications, such as short arm circular casts for the wrist and fingers or long leg casts for the tibia and fibula. It also provides nursing responsibilities when caring for a patient in a cast, such as performing neurovascular assessments and monitoring for signs of infection or pressure. Patients are taught how to properly care for their cast and when to notify nurses of any issues.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    325 views4 pages

    Cast Care

    Uploaded by

    rnrmmanphd
    This document provides information on various types of casts used to immobilize different parts of the body. It lists 30 different casts and their indications, such as short arm circular casts for the wrist and fingers or long leg casts for the tibia and fibula. It also provides nursing responsibilities when caring for a patient in a cast, such as performing neurovascular assessments and monitoring for signs of infection or pressure. Patients are taught how to properly care for their cast and when to notify nurses of any issues.

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    The document discusses various types of casts used to immobilize different parts of the body, along with nursing responsibilities and patient instructions when placed in a cast.

    Some common casts mentioned are short arm circular casts for the wrist and fingers, long arm circular casts for the radius and ulna, hanging casts for the humerus, shoulder or spica casts for the shoulder joints and humerus, and short leg circular casts for the ankles and toes.

    Nursing responsibilities when caring for a patient with a cast include performing frequent neurovascular assessments, monitoring the cast for signs of infection like drainage or hot spots, and reporting any issues promptly to the physician.

    CASTS IN THE UPPER EXTREMITY

    NAME OF CAST

    INDICATIONS

    Short Arm Circular Wrist, fingers & lower 3rd of radius & ulna
    Cast
    Long Arm Circular Middle & upper 3rd of the radius & ulna
    Cast
    Hanging Cast

    Shaft of the humerus

    Functional Cast

    shaft of the humerus w/c allows flexion & extension of the humerus
    w/ callus formation

    Fuenster or Munster Radius and ulna w/ callus formation


    Cast

    Airlane or Abduction Neck of the humerus


    Cast

    Shoulder
    Cast

    or

    Spica Shoulder joints & upper portion of humerus

    Sugar Tong

    Shoulder joints & upper portion of humerus with open wound ,


    swelling or infection

    Collar Cast

    cervical affectation

    CAST IN THE LOWER EXTREMITY


    Short Leg Circular Cast

    Ankles & toes lower 3rd of tibia & fibula

    Long Leg Circular Test

    m/3rd & lower 3rd tibia & fibula

    Walking Cast

    Ankles & toes w/ heel

    Patellar Tendon Bearing Cast Tibia Fibula w/ callus formation


    ( Pro)
    Quadrilateral/
    Bearing Cast
    Cylinder Cast

    Ischial

    Weight Affection of femur w/ callus formation


    Fx patella

    Brace Casket

    D/3rs femur &P/3rd of tibia w/c allows flexion &


    extension of lower extremity

    Delvit Cast

    D/3rd tibia-fibula w/ callus formation

    Basket Cast

    for massive bone injury ; to facilitate dressing of wounds

    Boot Casket

    Post polio w/ residual paralysis

    CAST IN THE TRUNK & NECK


    Collar Cast

    Cervical spine

    Minervas Cast

    Cervical spine & upper dorsal

    Rizzers Jacket

    Scoliosis

    Body Cast

    Lower dorso-lumbar spine

    Shoulder Spica Cast

    Shoulder joints & upper part of the humerus

    CAST IN THE HIP


    Single Hip Spica Cast

    Hip & femur

    1 Hip Spica Cast

    Both hips and 1 femur

    Double Hip Spica Cast

    Both hips and both femur

    Pantalon Cast

    For pelvis

    Frog Cast

    For congetal hip dislocation

    Night Splint

    For post polio w/ contractures of hip & knee ; applied @HS

    Internal Rotator Splint

    For post hip surgery , to maintain knee abduction

    CASTS AND MOLDS


    1. Hanging Casts - Shaft of the humerus
    2. Functional Arm Cast - Humerus (allows abduction and adduction) with callus formation
    3. Shoulder Spica - Humerus and shoulder joint
    4. Airplane - Humerus and shoulder joint with compound affection (with open wound,
    infection or swelling)
    5. Short Arm (Circular) Cast - Wrist and fingers
    6. Short Arm Posterior Mold - Wrist and fingers with compound affection
    7. Long Arm (Circular) Cast - Radius/Ulna
    8. Fuensters Cast (Munster Cast) - Radius/Ulna with callus formation
    9. Long Arm Posterior Mold - Fracture of the radius and ulna with compound affection
    10. Collar Cast - Cervical affection
    11. Minerva - Upper dorsal cervical spine
    12. Body Cast - Lower dorso-lumbar spine
    13. Double Hip Spica - Hip and femur
    14. Rizzers Jacket - Scoliosis
    15. Single Hip Spica - Hip and one femur
    16. Single Hip Spica Posterior Mold - Pelvic bone fracture with callus formation
    17. 1 Hip Spica - Hip and femur
    18. 1 Hip Spica Posterior Mold - Hip and femur with compound affection
    19. Double Hip Spica Posterior Mold - Pelvic Affectation with CF plus 2 femur
    20. Pantalon Cast - Pelvic bone fracture
    21. Frog Cast - Congenital Hip Dislocation
    22. Basket Cast - Severe leg trauma with open wound
    23. Long Leg Cast - Tibia/Fibula
    24. Long Leg Posterior Mold - Fracture of the tibia and fibula with compound affectation
    25. Quadrilateral/Ischial Bearing Cast - Shaft of femur with CF
    26. Cylindrical Leg Cast - Patella
    27. Cast Brace - Fracture of the femur distal 3rd femur
    28. Short Leg Cast - Ankle and foot
    29. PTB (Patellar-Tendon Bearing) - Tibia/Fibula with CF
    30. Delbit Cast - Tibia/Fibula
    31. Short Leg Posterior Mold - Ankle and foot with compound affectation
    32. Boot Leg - Hip and femoral fracture (for traction only)
    33. Internal Rotator Splint - Post hip operation
    34. Night Splint - Post Polio
    Nursing Implications for client with cast
    NURSING RESPONSIBILITIES

    Perform frequent neurovascular assessments

    Palpate the cast for hot spots that may indicate the presence of underlying infection.

    Report any drainage to physician promptly


    CLIENT AND FAMILY TEACHING

    Do not place ant objects in the cast.

    If the cast is made of plaster, keep it dry.

    If he cast is made up of fiber glass, dry it with blow drier on the cool setting if it becomes
    wet.


    Assess the injured extremity for coolness, changes in color, increased pain, increased
    swelling, and/or loss of sensation.

    Use a blow dryer on the cool setting to relieve itching by blowing cool air into the cast.

    If a sling is used, it should distribute the weight of the cast evenly around the neck. Dont
    roll the sling; this can impair circulation to the neck.

    If crutches are used, arrange for physical therapist to teach correct crutch walking.

    When the cast is removed at follow up appointments for skin assessments, an oscillating
    cast remover will be used. A guard prevents the cast remover from penetrating past the depth of
    the cast, so it will not cut the client. It I noisy and the client will feel vibration.

    The client may wish to wash and thoroughly dry the extremity before reapplication of
    cast.

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