Helpfull for students

1. Care pf patients with Plaster Cast
Mr Yogendra Mehta
Lecturer, HOD (Adult Health Nursing)
TU IOM BRNC, Biratnagar

4. (Congenital Talipes Equinovarus)

8. 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

12. 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

19. ALLOW CAST TO DRY :
POP
 24 – 48 hours
Fiberglass
 Approximately 20 minutes

23. 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

24. 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

31. 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

41. 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