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What are the examples of dry and moist heat and cold applica ons?
Dry heat: hea ng pad, chemical hot pack
Moist heat: hot soak, hot compress
Dry cold: ice bag, chemical cold pack
Moist cold: cold compress
What are the factors that may cause unfavorable reac ons?
The age of pa ent, loca on of the applica on(some areas are more sensi ve)
Impaired circula on, impaired sensa on(diabe c pa ents)
Individual tolerance to change temperature
What does local heat applica on cause?
produces dila on, or an increase in diameter, of the blood vessels in the area as the body tries
to rid itself of excess heat
increased blood supply to the area, and ssue metabolism increases
Why would heat applica on be used?
relieving pain, conges on, muscle spasms, and inflamma on
How should a pa ent be instructed to use a hea ng pad?
Wires should not be bent nor crushed. Pins must not be inserted into the pad, if the pin comes
in contact with a wire, an electric shock could result. Should not be used over areas that contain
moisture, such as wet dressings.
Cold
What does cold applica on cause?
constric on, or a decrease in diameter, of blood vessels in the area as the body a*empts to
prevent heat loss
leads to decreased blood supply to the area.
Why would cold applica ons be used?
prevent edema
, How should a pa ent be instructed to ac vate a chemical cold pack?
ac vated by applying pressure un l the inner bag ruptures
Shake the crystals to the bo*om of the bag.
Squeeze the bag firmly with your hands to break the inner water bag.
Shake the bag vigorously to mix the contents.
Cover the bag with a protec ve covering.
How should these be stored? (chemical cold pack)
room temperature.
What is a cast and why are they most o.en used?
s ff cylindrical casing that is used to immobilize a body part un l healing occurs. Applied most
o.en when an individual sustains a fracture.
How should the cast fit?
fits snugly but s ll allows adequate circula on necessary for healing.
How long is it usually kept on for? (the cast)
4 to 6 weeks
What are the guidelines to relay to pa ents for proper cast care?
Allow the cast to dry before pu3ng any pressure or weight on the cast.
Elevate the cast above heart level for the first 24 to 48 hours to decrease swelling and pain.
Gently move the toes or fingers frequently to prevent swelling and joint s ffness and to increase
circula on.
Apply ice to the casted extremity to reduce swelling.
Take precau ons to prevent dirt, sand, powder, and other foreign par cles from becoming
trapped under the cast.
Do not apply powder for itching under the cast. Do not use any object to scratch the skin under
the cast.
Do not engage in ac vi es that could cause injury because of impairment of your physical
abili es
Keep the cast dry.
To dry a wet cast, first blot the outside of the cast with an absorbent towel.
Inspect the skin around the cast at regular intervals to check for redness, sores, or swelling.
Do not trim the cast or break off any rough edges because this may weaken or break the cast.
What is the purpose of a splint?