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Fractures and Cast Care

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This practical guide covers the essentials of fractures and cast care, focusing on types of fractures, clinical signs, immobilization methods, and nursing responsibilities. It explains cast types (plaster, fiberglass), cast care do’s and don’ts, neurovascular checks (5Ps), and how to monitor for complications like compartment syndrome or infection. Ideal for NCLEX prep, med-surg nursing exams, and clinical care planning for orthopedic patients.

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Fractures and Cast Care
Bone ends reduced by direct visualization - Realignment of bone ends through surgical incision



Break in a bone - Fracture of a bone



Bruising - Discoloration of the skin caused by bleeding underneath



Buck's traction - Skin traction using weights to relieve muscle spasms and stabilize hip fractures



Casts - Supportive devices made of plaster or fiberglass



Casts - Supportive devices made of plaster or fiberglass



CHG bath - Bathing with chlorhexidine wipes to reduce the risk of infection



CHG bath - Bathing with chlorhexidine wipes to reduce the risk of infection



Closed fracture - Fracture does not break the skin



Closed reduction - Manual realignment of bone ends without surgery



Collaborate with other disciplines - Work with other healthcare professionals to educate
patients on using external fixation devices



Comfort - State of physical and emotional well-being

, Compartment Syndrome - Condition characterized by increased pressure within a confined
space




6 Ps - Pain, paresthesia, pallor, paralysis, pulselessness, and poikilothermia - signs of
neurovascular compromise



Abductor wedge - Supportive device to keep the hip abducted and aligned



Acetaminophen - Pain reliever and fever reducer



Administer analgesics - Give pain-relieving medications



Anticoagulants - Medications used to prevent blood clots



Apply ice - Use cold therapy to reduce swelling and pain



Arthritis - Inflammation of the joints



Avascular Necrosis - Death of bone tissue due to lack of blood supply



Avoid pulling up on patient's arms - Prevent patient injury by not exerting force on the patient's
arms



Bone ends reduced by direct visualization - Realignment of bone ends through surgical incision

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July 8, 2025
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