10. EQUIPMENTS
• Stockinette
• Padding material
• Cast material
– Plaster: cheaper, long shelf life, easier to
work with
• May be fragile, disintegrate in water
– Fiberglass: more durable, lighter, dry
quicker, multiple colors, water tolerant
– Newer synthetic materials
11.
12.
13.
14. PROCEDURE
• Apply stockinette
– Protect skin and provide smooth edge
• Apply padding
– Protect bony prominence
– Allows for swelling
• Wet the casting material
– Hot water hardens faster
– Squeeze out excess water
• Apply splint or cast
15.
16.
17.
18.
19.
20.
21. ALLOW CAST TO DRY :
POP
24 – 48 hours
Fiberglass
Approximately 20 minutes
22.
23.
24.
25. Patient Assessment with Cast
ASSESS:
• Neurovascular status for signs of
compromise
• Skin integrity
• Positioning and potential pressure sites
• Cardiovascular, respiratory, GI for
possible complications of immobility
• Psychological reaction
26. Medical Intervention
1. Elevate extremity
2. Avoid resting on hard surface
3. Handle moist cast with palms of hands
4. Turn every 2 hours while cast dries
5. Assess neurovascular status at least
per shift
27.
28.
29.
30.
31.
32.
33. IMMEDIATE MANAGEMENT
Elevation (at or above heart level)
Check tightness of the cast
Encourage movement of extremities
Monitor neurovascular status
Inform Doctor
Prepare for open cast
34.
35.
36.
37.
38.
39.
40.
41.
42.
43. PATIENT EDUCATION
• Keep cast clean
• Do not stick objects into cast
• Do not pull out the padding
• Do not apply powder or deodorant inside cast
• Watch for skin irritation
• Do not modify your cast
• Watch for cracking and breaking of cast
• Do not drive or lift anything heavy
