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6 Cards in this Set

  • Front
  • Back

Definition

For immobilization

Types

Plaster: traditional (plaster of Paris)



Non plaster: synthetic (fiberglass)

Plaster

Durability: durable


Drying time: 24 to 72°


Strength: weaker


Wt: heavier


H2O resistance: (-)



Percussion


Wet: dull


Dry: resonance



Apperance


Wet: gray or dull


Dry: white or shiny



Texture


Wet: damp


Dry: hard or firm



Odor


Wet: musty


Dry: odorless


Non Plaster

Durability: more durable


Drying time: 10 to 15 min


Strength: stronger


Wt: lighter


H2O resistance: (+)

Mgt

Use palms: prevent indentation = compartment syndrome



Elevate: <inflammation



Expose or air dry



Don't cover: >heat = burns



Petal: cover rough edges using tapes



Don't insert anything inside the cast



Monitor for signs of infection: foul smelling odor


Hot spots


Fever



Assess neurovascular status

Compartment Syndrome

External: too tight application of cast



Verify


Windowing: making an opening in the cast to inspect the skin



Bivalving: cutting the cast into 2 = <pressure



Give pain meds:


(+) unrelieve = report ASAP


(-) relieve = fracture pain




Internal: inability of the fascia to expand



Mgt:


Fasciotomy: making an incision in the fascia to relieve pressure