.
Skin irritation at the cast edges
Decreased capillary refill and pallor
Tingling and numbness distal to the cast
Slight edema, soreness, and limitation of range of motion
Apply ice to the top of the cast
Maintain the extremity below heart level
Handle the wet cast with the fingertips
Fold the stockinette or padding over the outer cast edges
Blow dry the wet cast on the “hot” setting
Report changes in sensation or mobility to the area
Use only soft objects to slide down the cast for scratching
Cut away the edges of the cast if the skin becomes irritated
Discomfort will be felt from the cast saw
An enzyme wash may be applied to intact skin
The skin will be scrubbed very well after the removal
Aggressive range-of-motion exercises will be performed after removal
Bryant’s traction
Dunlop’s traction
Weil sling
Buck’s extension traction
Bryant’s traction
Dunlop’s traction
Weil sling
Buck’s extension traction
Occipital area
Arm and forearm
Back and abdomen
Lower extremities
Apply a traction boot tightly
Drop the weights after the traction is attached
Assess the neurovascular status every 1 to 2 hours for the first day
Shave the hair off the area where the traction is to be placed
On the back, with the knees flexed 45 degrees
On the back, turning to the unaffected side for 10- to 15-minute periods
On the back, with the buttocks slightly elevated off the bed
On the back, with the bed tilted toward the side that is opposite the traction
Bradypnea
Restlessness
Bradycardia
Hypertension
Use povidone-iodine to cleanse the pin site
Apply antiseptic ointment and cover with a split dressing
Use hydrogen peroxide as a rinse before a dressing is applied
Do both pin sites at the same time, with the same swab and solution