Frostbite

Assessment Diagnosis Planning Intervention Rationale Evaluation

S
Hindi ko
maramdaman
yung dulo ng
mga daliri ko
as verbalized

O:
A part of the
patients
body or skin
is turning
white and
hard or black.

Red, white,
pale or
grayish-
yellow skin

Hard or
waxy-
looking skin

Low body
temperature
Impaired
Skin
Integrity
related to
frost bite as
evidenced
by open
skin lesions
After 3 hours of
nursing
intervention, the
patient will be
able to verbalize
understanding of
cause and
therapeutic
management
regimen and
demonstrate
behaviors to
improve
thermoregulation
Get the patient
to a warm
place and
remove any
wet clothing.
Rapidly warm
the affected
area in water
for 15 to 30
minutes.
Teach the
patient not to
walk on
frostbitten toes
or feet.
Do not rewarm
the skin until
you can keep it
warm.

Gently warm
the area in
warm water
(not hot) or
with wet heat
until the skin
appears red
and warm.
Teach the
patient not use
direct heat
from heating
pads, radiator,
or fires.
Remove
blisters that
contain clear
To promote
thermoregulation








To avoid further
complications


Warming and
then re-
exposing the
frostbitten area
to cold air can
cause worse
damage.








Exposing the
frostbitten area
to direct heat
can cause worse
damage.











To protect skin

or milky fluid
and cover
them with a
topical
antibiotic,
petroleum
jelly, or aloe
vera gel.
Blisters that
contain blood
may not be
removed.
Splint and
elevate the
affected area
and wrap it in
a loose
bandage.
Administer
ibuprofen to
limit
inflammation,
tetanus toxoid
to prevent
tetanus
infection, and
antibiotics


from infections



To prevent or
treat infection.