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Ch 44
Heating and Cold applications
| Question | Answer |
|---|---|
| heat and cold have ______________ effects on the body | opposite |
| ___________ increases blood flow y dilating blood vessels in area | heat |
| ___________ slows blood flow by constricting blood vessels in area | cold |
| using heat and cold application is a controlled act, PSWs must be delegated by a nurse to do so and it must be in the care plan t/f | t |
| check client frequently for signs of heat problems inc: | 1)excessive redness in area/ face 2)blisters 3)c/o discomfort, pain, burning 4)skin irritation, rash, itching, burning |
| check client frequently for signs of cold problems inc: | 1)pale, white, grey skin 2)cyanosis 3)shivering 4)c/o discomfort, pain, numbess, burning 5)skin irritation, rash, itching, burning |
| check skin every ______ mins for first two check and every 15 mins subsequently | 5 |
| heat is used for chronic pain: | 1)reduces pain of muscle cramps/ arthritis 2)promotes healing 3)reduces joint stiffness |
| cold is used for recent injury: | 1)reduces swelling/ pain 2)slows bruising 3)reduces itchiness from bug bites |
| complications of heat application inc: | 1)burns 2)tissue death 3)circulatory chock |
| complications of cold application inc: | 1)frostbite 2)tissue death 3)circulatory shock |
| heat can be applied to almost any _____________ | body part |
| when heat is used properly, muscles in area ______ and painful swelling is _____________ | relax, reduced |
| clients at high risk for complications from heat/ cold application inc: | 1)thin, frail. delicate skin 2)decreased sensation (unconscious, scarring, meds, spinal cord injury, diabetes, aging) 3)cognitive awareness challenges 4)metal implants |
| do not apply heat/ cold in an area that has a ___________________ | metal implant |
| moist heat application | water comes in contact with skin |
| moist heat has advantages inc: | 1)water conducts heat, works faster with greater effect than dry heat 2)heat penetrates deeper so lower temp settings are ok which helps prevent injury |
| do not apply heat above ___________ | 41'C/ 106'F |
| ask your supervisor what temperature the application should be for each client t/f | t |
| _______ temps are used for clients at risk when using heat application | cooler |
| ____________ temps are used for clients at risk when using cold application | warmer |
| ask supervisor to show you the precise site for application t/f | t |
| do not leave at risk clients ________________ | unattended |
| remind client not to ___________ temp of application | change |
| dry heat application | water does not come in contact with skin |
| advantages of dry heat inc: | 1)stays desired temp 2)does not penetrate as deeply; may be chosen for client who is very thin or has medical condition |
| compress | soft pad that is moistened/ applied over body area |
| warm compresses are ___________ heat application | moist |
| compresses can be _________ or ____________ | hot, cold |
| test warm compresses by placing small amt on inner _____________ | wrist |
| after heating wheat/ bean bag in microwave shake the bag to mix contents to distribute heat more evenly t/f | t |
| PSW are usually not allowed to apply electric heating pads or hot water bottles t/f | t |
| warm soak | warm, moist application involve immersing body part into heated water to promote circulation and muscle relaxation |
| soaks last ______ mins | 15 |
| sitz bath | warm moist application; immersing perineal/ rectal area in warm/hot water |
| sitz baths usually last for _____ mins | 15 |
| sitz baths are used after: | 1)rectal surgery 2)female pelvic surgery 3)childbirth 4)hemorrhoids |
| sitz baths are used for: | 1)clean perineal/ anal wounds 2)promote healing 3)relieve pain/ soreness 4)increase circulation 5)stimulant voiding |
| sitz tub | built in fixture with deep seat, clients its in it with feet on floor. immersing feet/ legs diminishes effectiveness do not use reg bath |
| pack | treatment involving wrapping body part with wet/ dry application. reusable/ disposable. cold/ hot |
| aquathermia pad | waterproof plastic/ rubber pad can be applied to areas of muscle sprain, edema, mild inflammation in place of heat/ cold pack |
| R.I.C.E | rest, ice, compression, elevate |
| cold applications are most often used to treat: | 1)sprains 2)fractures 3)fever |
| never use cold application on ___________ injuries | old |
| frostbite | medical condition where damage is caused to skin and other tissues due to extreme cold. signs inc: blisters, pale/ white/ grey skin, cyanosis, shivering, numbness, pain, burning |
| ________ should be applied and removed in 15 min intervals | cold |
| dry cold | ice bag, ice collar, ice gloves |
| moist cold | cold compress |
| moist/ dry | cold packs |
| cold applications can be _____ or __________ | moist, dry |
| moist cold penetrate less deep than dry cold t/f | f; penetrates deeper |
| moist cold applications should not be as cold as dry cold, check every 5 mins t/f | t |
| do not eat ___________ if used in home setting as moist cold | frozen veggies |
Created by:
Wil.Wilson
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