Podcast
Questions and Answers
What is a potential complication resulting from a tight hip spica cast?
What is a potential complication resulting from a tight hip spica cast?
- Plaster blisters
- Joint stiffness
- Muscle wasting
- Peripheral nerve injury (correct)
Which material is NOT typically used in cast application?
Which material is NOT typically used in cast application?
- Synthetic acrylic
- Hybrid polymer
- Metal alloy (correct)
- Natural plaster of Paris
What complication is associated with improper application of a cast?
What complication is associated with improper application of a cast?
- Loose cast (correct)
- Compartment syndrome
- Allergic dermatitis
- Pressure sores
Which of the following symptoms may result from the application of a tight hip spica cast?
Which of the following symptoms may result from the application of a tight hip spica cast?
What is one of the risks associated with allergy when using casting materials?
What is one of the risks associated with allergy when using casting materials?
What is the primary purpose of a cast?
What is the primary purpose of a cast?
Which condition is NOT a contraindication for the use of a cast?
Which condition is NOT a contraindication for the use of a cast?
Which of the following is a purpose of applying a cast?
Which of the following is a purpose of applying a cast?
What is a common misconception regarding the use of a cast?
What is a common misconception regarding the use of a cast?
Which reason is NOT included in the purposes of using a cast?
Which reason is NOT included in the purposes of using a cast?
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Study Notes
Hip Spica Cast
- Encloses the trunk and a lower extremity
- Double hip spica cast encompasses both legs
Cast Materials
- Natural (plaster of Paris)
- Synthetic acrylic (fiberglass-free, latex-free, polymer, hybrid)
Complications of Cast Application
Due to Tight Cast
- Pain
- Pressure sores
- Compartment syndrome (tight cast restricts swelling)
- Peripheral nerve injury
Due to Improper Application
- Breakage
- Loose cast
- Plaster blisters
Due to Allergy
- Allergic dermatitis
Other
- Muscle wasting
- Joint stiffness
Cast Definition
- Rigid, temporary, immobilizing, and protective external device made of layers of plaster or fiberglass material molded to the body parts it encases
Purposes
- To immobilize, support, and protect the fractured extremity.
- To correct and prevent deformities.
- To stabilize weakened joints.
- To promote healing.
- To promote early mobilization.
- To prevent injury in case of osteomyelitis.
Indication
- Fracture immobilization.
Contraindication
- Skeletal muscle rigidity.
- Open wound or draining wounds.
- Edema
- Impaired circulation.
- Severe spasticity
- Sensory problem
- Unstable fracture.
- Patients with poor compliance.
- Contracture existing for more than 6 months.
- Active skin disease.
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