Tips Pasang Gips: Fraktur Radius

Summary

This instructional video demonstrates the step-by-step process of applying a cast to a patient's hand fracture. Key points include preparing the materials, using the appropriate plaster bandages and padding, ensuring proper patient comfort, and securing the cast in place. The video emphasizes safety, including the use of cool water to avoid burns and tips on proper application techniques to ensure a secure and well-fitted cast. Additionally, it highlights the importance of patient education, managing pain, and checking for vascular and nerve function post-application.

Takeaways

• 😀 Always administer analgesic medication (Ibuprofen, Paracetamol) or procedural sedation before performing a plaster cast, especially if it's for fracture reduction.
• 😀 It's important to explain the plaster casting procedure clearly to the patient before starting the treatment.
• 😀 Remove all accessories, like rings, from the patient’s body before applying the cast to avoid discomfort and complications.
• 😀 Use plaster bandage in varying sizes based on the patient’s body size and the affected area (e.g., 7.5 cm, 10 cm, 15 cm for different body parts).
• 😀 Always use cold water when preparing plaster bandages to avoid an exothermic reaction that could lead to burns from the heat generated.
• 😀 Prepare the plaster bandages by folding them into layers (8 layers) and cutting them to the required length before applying.
• 😀 Make a triangular cut for the thumb area to ensure a comfortable fit and better mobility within the cast.
• 😀 Ensure proper overlap (50%) of the padding material to balance comfort and stability during the application of the cast.
• 😀 Smoothly wrap the padding material around the patient's hand, ensuring no wrinkles or uneven areas to improve patient comfort.
• 😀 After the cast is applied, check the neurovascular status of the patient’s hand, including movement of the fingers and circulation (e.g., Capillary Refill Test).

Q & A

What is the first step before applying a cast?

Before applying the cast, administer analgesics to the patient to manage pain. This can include Ibuprofen, Paracetamol, or sedation if needed.

Why is it important to use cold water when preparing plaster bandages?

Cold water is essential because using warm water can cause the plaster to heat up excessively, leading to an exothermic reaction that may burn the patient.

What should be done before starting the casting procedure?

Ensure that the patient’s hand is free of any accessories such as rings and watches. Explain the procedure clearly to the patient and make sure they are comfortable.

How should the padding be applied during the casting process?

The padding should be applied smoothly, covering the entire affected area. Ensure there is a 50% overlap in the layers of padding to avoid areas that are too thick or too thin.

What is the significance of the triangular hole in the plaster bandage?

The triangular hole allows for the thumb to fit through the bandage, ensuring a better and more comfortable fit around the hand, helping to align the cast properly with the patient’s anatomy.

How do you ensure the plaster bandage is properly activated?

Submerge the plaster bandage in cold water until the air bubbles disappear. Do not stir the water to avoid making the plaster overly saturated. Wring out excess water before applying it.

What is the correct procedure for applying the plaster cast?

Start by inserting the thumb through the triangular hole, then wrap the plaster bandage around the hand evenly, ensuring that it is snug but not too tight. Smooth out any wrinkles to avoid discomfort.

How long should the plaster cast be left to set?

The plaster should be allowed to set for 15-20 minutes to harden and hold the hand in the correct position for proper immobilization of the fracture.

Why is it important to check the neurovascular status of the patient after casting?

Checking the neurovascular status helps ensure that blood circulation, sensation, and movement are not compromised by the cast, preventing complications such as compartment syndrome.

What should be done if the patient’s cast gets wet or they experience discomfort?

The cast should be kept dry at all times. If the patient experiences discomfort or signs of pressure sores, they should contact their healthcare provider immediately for further evaluation.