ICE CAP/ICE COLLAR

ICE CAP/ICE COLLAR (Cold Application) – Definition, Purpose, General Instructions, Preliminary Assessment Check, Effects, Physiologic Effects, Indications, Preparation of the Patient and Environment, Equipment, Procedure, After Care and Contraindications

The ice bag is another means of applying local cold to the skin. It should be filled with finely chopped ice so that it is about 2 cm thick. The air is driven out by water. Then the cap is screwed on; the bag should hold its shape by reason of the predominance of ice. It is covered with a layer of face towel before it is applied to skin. Commonly, the ice bag is not kept in place continuously but is removed for 20 minutes after 20 minutes application. Specially shaped ice bags are mad for the spine, the neck (cravat) and head (ice cap).

DEFINITION

Ice cap is defined as small rubber bag filled with small pieces of ice and salt, that serves as a device for cold application.

PURPOSE

  • To reduce temperature between 101-101.8 degree F.
  • To prevent bleeding especially after thyroid surgery, tonsillectomy and dental surgery
  • To relieve urinary retentions
  • To relieve inflammation
  • To decrease metabolic rate of body

GENERAL INSTRUCTIONS

  • Fill the ice bag and ice collar with small pieces of ice and sprinkle sodium chloride
  • The salt lowers the melting point and prevents the ice from melting
  • Check the ice bag for leakage by pouring cold water into it. Empty the water and fill the bag about 1/3rd with the ice
  • The ice bag/ice collar is colder than the skin, the ice takes up heat from the body and reduce the body temperature
  • Condensation of moisture collects on the outside of the bag, and the flannel cover with absorb this moisture
  • The ice bag is applied for about ½ hour, and then it is discontinued for at least one hour to hollow for the recovery period

PRELIMINARY ASSESSMENT

Check

  • The doctors for any specific instructions
  • General condition and diagnosis of the patient
  • Self care ability of the patient
  • Frequency and duration of application
  • For any contraindication of cold application
  • Articles available in the unit

PREPARATION OF THE PATIENT AND ENVIRONMENT

  • Explain the procedure to the patient
  • Provide privacy, if needed
  • Assess the temperature of the patient
  • Position the patient comfortably in the bed
  • Arrange the articles at the bedside
  • Assess the part of body needs to be applied

EQUIPMENT

A clean tray containing

  • Small Mackintosh with towel
  • Ice cap with ice cubes
  • Flannel cover
  • Salt
  • Thermometer tray
  • Duster

PROCEDURE

  • Wash hands
  • Fill 2/3rd ice cap with ice cubes and expels air before closing cap
  • Add pinch of salt to ice cubes before closing
  • Check for any leakage
  • Cover bag with flannel cover after drying with duster
  • Placed on desired area
  • Apply for ½ hour and then remove

AFTER CARE

  • Observe for bluish skin discoloration or mottling
  • Recheck patient’s temperature
  • Replace the articles after cleaning
  • Position the patient in a comfortable position
  • Wash hands
  • Record the procedure in the nurse’s record sheet and vital signs in TPR sheet

COLD APPLICATION

COLD COMPRESS

COLD PACK

TEPID SPONGE / COLD SPONGE

ICE CAP/ICE COLLAR (Cold Application) - Definition, Purpose, General Instructions, Preliminary Assessment Check, Effects, Physiologic Effects, Indications, Preparation of the Patient and Environment, Equipment, Procedure, After Care and Contraindications
ICE CAP/ICE COLLAR (Cold Application) – Definition, Purpose, General Instructions, Preliminary Assessment Check, Effects, Physiologic Effects, Indications, Preparation of the Patient and Environment, Equipment, Procedure, After Care and Contraindications

Leave a Comment

Your email address will not be published. Required fields are marked *