COLLEGE OF NURSING MMI LALPUR

RAIPUR
DEMONTRATION-COLD APPLICATION

PRESENTED
Ms.Shobhana Shriwas
M.SC Nursing final year
 INTRODUCTION
1.The ice cap, ice collar or ice bag is a method of dry cold
application.
2. Single used ice bags are frequently used.

3.The physician may prescribe dry cold; to treat a specific

area of the body.
4. However ice bag is often used for a headache or in
emergency such as sprain or nose bleed.
 METHODS OF COLD APPLICATION

• Decrease inflammation,
• swelling and muscle spasm.
• Reduces bleeding.
• Decreases pain.
• Causes a temporary stimulating effect.
 EFFECT OF COLD APPLICATION

1. When applied locally (to affected area); it reduces

the temperature of the skin, then the muscles and joints.
2. Effect may last up to 45 minutes after cold
source is removed
3.Restricts blood flow to the area by narrowing the blood
vessels (vasoconstriction).
 DEFINATION

1. ICE CAP/ ICE BAG:

The ice cap / ice bag is a dry

cold application to a specific
body part, which has a wide
opening that allows it to be
filled easily with ice chips and
salt.
2. ICE PACK:

- It is also a dry cold application used

by sports teams, hikers and camping organizations.

- Sometimes, these can be refrozen, but only for one

patient.

- Most emergency ice packs release a chemical that causes the bag to
become cold; when a capsule is broken or crystals are activated
when the bag is shaken.

- They can be used only once.

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 PURPOSES OF COLD APPLICATION

• To relieve pain of muscle strain, tooth extraction and

headache.
• To relieve congestion / edema.
• Effective initial treatment after eye injuries, strains, sprains,
bruises, muscle spasms and burns.
• To relieve urinary retention.
• To reduce body temperature (101-102°F)
• To slow or stop bleeding
• To relieve inflammation.
 CONTRAINDICATIONS
Patients with-
• Hypothermia.
• Peripheral neuropathy.
• Muscle spasm.
• Client in the state of shock and collapse.
• Diseases associated with impaired circulation.
• Cold intolerance.
 ARTICLES
A tray containing the following articles:-
• Ice in a bowl (ice chips if available).
• Water in small jug
• Mitten/Towel
• Mackintosh
• Salt
• Kidney tray.
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• Ice cap with cover/ice pack.

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 STEPS OF PROCEDURE
PRE-PROCEDURAL STEPS:
1. Identify the patient and check physicians order. 3‘
Explain the procedure to the patient.
2. Provide privacy and make sure the room is warm and
free of drafts.
3. Arrange all articles at the bed side of the patient.
4. Check for leaks in the ice cap/ ice bag.
5.Record the patients temperature.
INTRA PROCEDURAL STEPS :
• Fill the ice cap with the ice
cubes.
• Use small pieces of ice
cube.
• Add salt to the ice cube.
• Fill the ice cap about one half
full and expel the air from the
bag, squeeze the bag so that ice
appears in the neck
• Screw on the top, be sure that
washer is in place.
• Dry the bag and put on the cover.

• Expose only the treatment site.

• Apply to the affected part.

• Check tolerance of patient periodically.

• Observe for cyanosis / mottling.

• Refill or replace the cold device as necessary.

• Change the protective cover, if it becomes wet.

• Remove the device after the prescribed treatment period (usually

30 minutes) or as per patients tolerance.
 POST PROCEDURAL STEPS

• 1. Dry the patient skin and re-dress the

treatment site according to the physician
orders.
• 2. position the patient comfortably and
monitor his/her vital signs.
• 3.clean and replace the articles
• 4. wash hands.
 COMPLICATIONS :

• pain, burning or numbness.

• Frostbite
• Necrosis.
• Injuries to deeper tissues.
• Blisters and skin
breakdown.
• Grey, bluish or blackish
discoloration.
• Thrombus formation.
• Intense cold may cause pain,
burning or
numbness.