Show
Your child has received a treatment that can affect blood flow (circulation) in the injured arm or leg. You will need to check the circulation in your child’s fingers or toes. This is to prevent injury to the nerves and other tissues that could be caused by swelling. Some pain is normal after an injury or broken bone. The pain should not be worsening, severe or difficult to control. Pain should be manageable with over-the-counter pain relievers, such as ibuprofen or acetaminophen, or prescription pain medicines. Pain that is worsening, severe and not controlled could be a sign of poor circulation. Please call your child’s provider or the bone doctor (orthopedist) if you are concerned. Do circulation checks 3 or 4 times a day while your child is awake for 7 to 10 days. If your child has new complaints in the injured area, start circulation checks again until checks are normal. Do the checks before breakfast, lunch, dinner and at bedtime. Compare the injured side to the uninjured side. These are the signs of normal circulation:
How to check circulation
If your child has any results that are not normal, raise the injured arm or leg above the level of the heart. You can prop it up with blankets, firm pillows, cushions or folded blankets. Your child should lie down flat. Then place the injured arm or leg with the cast or splint on the pillows or blankets (fingers higher than the elbow; elbow higher than the heart or toes should be higher than the level of the nose with blankets or cushions behind the calf). Check the circulation again in one hour. If swelling is present, apply an ice pack to the injured arm or leg. Be sure the ice pack will not leak. Depending upon your child’s age, it may be hard to detect some symptoms, such as numbness and sensation. In these cases, rely upon results from the other areas you checked. When to call the providerCall your child’s provider or the bone doctor (orthopedist) if:
Follow up appointmentCall the Orthopedic Clinic or provider listed on your child’s discharge instructions to arrange his or her follow-up appointment. If your child has a follow-up appointment listed already, please keep your scheduled appointment. If you have any questions, please contact your child’s provider or the bone (orthopedic) doctor, Nationwide Children’s Hospital Orthopedic Center at (614) 722-5175 or Nationwide Children’s Sports Medicine at (614) 355-6000. Circulation Checks (PDF) HH-II-60 10/81, Revised 8/18 | Copyright 1981, Nationwide Children’s Hospital When wrapping the extremities circulation should be checked?When wrapping the extremities, circulation should be checked after the bandage is in place. A spiral bandage is anchored at the proximal end of the limb and is wrapped downward in a spiral. Tape should be stacked on its side to prevent the top and bottom from being compressed.
How should an elastic bandage be held in place quizlet?How to apply elastic bandages? Hold bandage in preferred hand with loose end extending from bottom of roll. Back surface of loose end should lay on skin surface. Pressure and tension should be consistent.
When applying an elastic wrap each turn should overlap?When applying an elastic wrap to a muscle, each turn should overlap itself by at least 1/2 and the wrap should be applied while the athlete is contracting the involved muscle.
Which of the following taping techniques should never use Underwrap?Knee Taping
1. Underwrap should not be used because adequate traction to support the joint can be achieved only by taping directly to the skin.
|