Hot application

medical procedure

1. H O T A PPLICATIO N Sushil kumar B.Sc. Nursing D P Tiwari medical & nursing educational institute ( college of nursing ) muhana jaipur SKS computers muhana Cont. No. 7792856696

2. CONTAINT Definition Classification Primary effect Secondary effect Therapeutic uses Contraindication Complication Principle General instruction

3. Definition hot application is the application of a hot agent than skin either in a moist or dry form, on the surface of the body to relieve pain & congestion.

4. Classification Cold application:- (1.) Local cold application (2.) General cold application

5. Local heat application (A) Dry heat Ex . Hot water bottle , chemical heating bottle , heating lamps , infrared rays , UV rays, short wave diathermy, electric cradles, electric heating pads

6. (B) Moist heat Ex. Warm soaks, hot fomentations, poultices, stupes, paraffin baths, sitz bath, aquathermia pad,

7. 2. General heat application (A) Dry heat Ex. Sun bath, electric cradles, blanket bed, (B) Moist heat E x. Steam bath, hot packs,

8. Primary effect Peripheral vasodilation. Increase capillary permeability. Increase oxygen consumption. Decreased blood viscosity . Decrease muscles tone. Increase blood flow. Increase lymph flow. Increase mortality of leukocyte. Increase local metabolism.

9. Secondary effects The heat application maximal increase in the circulation & tissue temperature occurs after 20 to 40 min. of exposure . After this time the heat application must be discontinued & a recovery time of 1 hour allowed otherwise secondary effect ( vasoconstriction )will take place

10. Therapeutic uses Heat decrease pain Heat decrease muscle tone Heat promote healing Heat promote suppuration Heat relieve deep congestion Heat softens the exudates Heat provides warmth Heat stimulate peristalsis

11. CONTRAINDICATION Heat not use in malignancy. Heat is not used for client with impaired kidney. Heat should not be applied actually inflammed areas. Heat should not be applied on client with paralysis. Heat should not be applied when there are open wound.

12. Do not use electrical appliances close to the open oxygen. Do not use electrical appliances near water or other fluid & or handle them with wet hands electrical & vibrational forms of energy must not be directed to any metal within or on the clients body. Heat should not be applied on client with high temperature. Heat should not applied to very young & very old people.

13. Complication Pain Redness Burn Maceration Edema Pallor hyperthermia

14. Principle of hot application Water is good conductor of heat. Air is poor conductor of heat. The flow of heat is from the hotter area to less hot area. Moisture left on the skin causes rapid cooling due to evaporation of the moisture .

15. General instruction Assess the condition of client. Continuous application of hot is detrimental to the health of tissue. Expose the client only a safe temperature. Never ignore the complaint of client.

16. Hot application must be very carefully used when the client is unconscious. Any sign of complication should be recognize early . The procedure stopped immediately & it should be reported to the head nurse & Doctor. During the hot application , protect the client from getting chills

17. PROCEDURE

18. Local hot application hot water bottle, UV rays, electric cradles, hot fomentation, sitz bath, aquathermia pad, warm soaks,

19. 2. General hot application whirlpool, steam bath, hot packs

20. Thanks for attention presented by:- arjun pradhan