How to care for the cast after it is fixed? Key points and precautions for the care of external fixa

The key points and precautions of plaster external fixation care should avoid weight-bearing, do not exercise vigorously, eat lightly, and avoid spicy and alcohol. Substitution is not recommended, conservative is recommended**. Elevate the affected limb to promote venous return, prevent swelling, and closely observe the blood circulation at the end of the affected limb.

To prevent pressure ulcers and cast cut injuries, frequently check the edge of the cast** and bony prominence for cut wounds, friction and early compression symptoms, and strengthen massage. Regularly check the wound in the plaster cast for bleeding through the plaster window. After the chest and abdomen casts are immobilized, the occurrence of plaster syndrome should be suspected.

For fracture patients, most of them need to be fixed with a plaster, and care should be paid after the plaster fixation, otherwise the effect of the fracture will be greatly reduced. Care instructions after casting: pay attention to the blood circulation of the affected limb and whether there is pain.

The color and temperature of the skin between the fingers and toes are often compared with the unaffected side. If you notice cyanosis of the fingers and toes, paleness, decreased temperature or inability to move actively, ** decreased sensation, the plaster cast should be immediately dissected longitudinally. If left untreated, ischemic muscle contractures and even limb gangrene can occur.

(1) Anti-breakage.

2) Promote the rapid drying of gypsum.

3) Keep the plaster clean.

4) Pay attention to whether there is any abnormal smell in the plaster cast and be alert to wound infection.

5) It is forbidden to scratch with hard objects such as chopsticks or sweater needles to avoid injury and secondary infection.

6) Pay attention to the observation of acral blood vessels.

7) Pay attention to the oozing or bleeding at the plaster, and record the start time, speed, range and color.

8) Prevention of plaster syndrome.

9) After removing the plaster. Instruct the patient to do active exercises, intermittently elevate the affected limb, and clean the **.

Summary. 1.Pay attention to the blood vascularity, sensation, color and temperature of the injured limb.

2.Pay attention to observe whether the plaster is fixed, and if the plaster is too tight or too loose, the plaster will lose its effect. 3.

To help patients with plaster casts perform functional exercises of the distal limbs to prevent muscle atrophy and the formation of deep vein thrombosis,4Ask the patient to drink plenty of water to prevent urinary tract infections. 5.

For elderly patients, assist patients to buckle their backs to promote the discharge of sputum and prevent respiratory infections.

What is the main point of care for plaster casting?

1.Pay attention to the blood vascularity, sensation, color and temperature of the injured limb. 2.

Pay attention to observe whether the plaster is fixed, and if the plaster is too tight or too loose, the plaster will lose its effect. 3.To help patients with plaster casts perform functional exercises of the distal limbs to prevent muscle atrophy and the formation of deep vein thrombosis,4

Ask the patient to drink plenty of water to prevent urinary tract infections. 5.For elderly patients, assist patients to buckle their backs to promote the discharge of sputum and prevent respiratory infections.

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What does the care of plaster external fixation include? We are happy to answer for you: the care of patients with plaster immobilization, including the following aspects:

1. The elevation of the affected limb, when the plaster is fixed, the limb will be reduced in motion, and the venous return will be slow, and the purpose of elevation is to promote venous return, thereby reducing the occurrence of venous thrombosis. 2. Observe the tightness of the plaster, observe the peripheral blood vascularity, if the plaster is particularly tight, it must be released in time, so as to avoid poor venous return, thrombosis, and even the possibility of limb necrosis in severe cases. 3. The care of patients with plaster immobilization, we should also pay attention to the care of pressure leakage sores, and there are some protruding parts of the limbs, such as the inner and outer malleolus and the ulnar styloid process of the wrist, and these protruding parts will cause pressure ulcers if they are compressed for a long time.

Therefore, if the patient feels that the protruding part of the limb is particularly painful, the cast must be opened to see if there is a pressure ulcer in the protruding area.

Cast care: Observe blood circulation at the end of the limb. whether the color is purple, blue, swollen, range, numbness and pain; If it is necessary to report in time, measures such as median incision of plaster cast, partial fenestration and decompression can be taken, and analgesics should not be given casually.

Observe bleeding and plasma exudate. When the incorporation or wound bleeds, the blood stain can penetrate into the plaster surface, and the bleeding range can be observed along the edge of the blood stain with a red pen stroke, and the wound may flow out from the edge of the plaster when there is more bleeding, so it is necessary to carefully check whether the blood may flow to the outside and whether the cotton mattress is contaminated.

Presence or absence of signs of infection. If there is fever, there is a rancid smell in the cast, and there is tenderness in the lymph nodes near the limbs.

Prevent pressure sores and "fenestration edema" from plaster casts. It is necessary to be wary of tender points that are not in the wound or affected area, it may be that the plaster bandage is too tight to the local pressure, and analgesics cannot be used at will, so as not to cause plaster pressure pressure bedsores, and if necessary, plaster fenestration should be used to relieve pressure. After opening the window and decompression, the local gauze and cotton pads are used to pad the window**, and then covered with the original gypsum sheet and bandaged with a bandage to avoid tissue edema.

Prevent nerve paralysis caused by compression of the edge of the cast. If the calf cast is high, the fibular head can be compressed and the common peroneal nerve is palsy, and symptoms such as foot drop and dorsum of the foot should be observed.

Prevention of pressure sores:

Help the patient turn over at regular intervals. After the lower limb herringbone cast is dry, the patient should be helped to turn over and lie on his stomach, twice a day.

Intensify the local ** massage. Dip your fingers in alcohol and reach into the edge of the plaster cast to massage the apophysis of **, caudal sacral, and lateral ankle of the foot without cast.

Sheets are kept clean, flat, dry, and free of debris.

Gypsum type protection:

To prevent breakage, to help flip the hip herringbone cast, the patient should be lifted up and flipped in the air.

Keep the plaster clean, do not make up for the contamination of urine and urine, you can put a plastic cloth on the window of the plaster on the buttocks, which can drain urine into the bedpan, and wipe it off with water in time after the stool letter is polluted.

Foot walking casts can be protected with walking pedals.

Getting out of bed and walking and functional exercises: the joints that are fixed in plaster casts and not fixed should be moved as much as possible, passive activities can be done in the early stage, and massage can help reduce swelling, but patients should be encouraged to do active exercises as much as possible.

The pain in the pressure area should be decompressed, and the window should not be filled with cotton. Early functional exercises for non-fixed joints prevent stiffness.

Pay attention to whether the limb circulation is good, generally the plaster will expose the fingers and toes, pinch the fingers, pinch down and turn white, let go and turn red immediately, indicating that the circulation is good. If the limb is swollen, the bandage will be loosened.