Cold compresses
Cold application
Cold application is the application of a cold agent cooler then skin either a in a moist or dry
form
On the surface of the skin
Purpose
To reduce pain and body temperature
To anesthetize area
To control hemorrhage
To control the growth of bacteria
To prevent gangrene
To prevent edema
To reduce inflammation
To prevent comfort
Types
Local cold application
Dry cold =ice bag, ice collar, ice pack
Moist cold= application is ice to suck, cold compress and evaporation lotion
General cold application
Moist heat =cold sponging cold bath cold packs
Indication
Pain
Swelling
Sport injuries
Wound healing
Temperature
Dental pain
Equipment
Bowel with ice water
Gauze piece
Mackintosh
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Cold compresses
Towel
Small cotton balls in a bowl
Thermometer
Procedure
When the time is over remove Wash hands
Explain the procedure to the patient
Arrange the articles at the bed side
Provide privacy
Place the patient in comfortable position
Bring the patient to the edge of the bed
Place the mackintosh and towel u under the patient to protect the bed
Pack the ear with cotton balls if compress to be applied to forehead
Take the gaze piece immerse it in the water wring it
Change it as soon as it become warm
Check the temperature every 15 minutes
Keep the constant watch on the cooler of the skin test the skin for numbness
After care
the compress
Wipe the part and make the patient comfortable
Take out the cotton balls from the ears
Inspect the part for discoloration or numbness
Place the patient in a comfortable position
Check the vital sign
Replace the articles
Wash hand
Record the procedure in nurse’s record sheet
Record the vital sign in TPR sheet
Physiological effect of cold application
Peripheral vasoconstriction
Decrease blood flow
Muscles one decrease
Decrease oxygen consumption
Contraindication
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Cold compresses
Shock and collapse
Oedema
Muscles spasm
Impaired circulation
Decrease sensation
Shivering
Infected wound
COMPLICATION
PAIN
Blister and skin break down
Bluish discoloration
Hypothermia
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