If itching occurs under a cast, which intervention is appropriate?

If itching occurs under a cast, which intervention is appropriate?

• A. Cool air from an air dryer
• B. Apply heat
• C. Remove cast immediately
• D. Massage under cast

Answer: (D)

When a cast itches, the goal is to relieve irritation without compromising the cast or skin inside. The safest and most effective approach is to direct cool air into the cast, using a hair dryer set to the cool setting from a safe distance. Cool air can soothe the skin and reduce the urge to scratch without introducing moisture or object under the cast. Avoid heat, which can increase itching or burn the skin; never massage or insert anything under the cast, since the skin beneath is not easily accessible and objects can cause skin injury or damage the cast. Also don’t remove the cast prematurely, as immobilization must be maintained unless a clinician directs otherwise. If itching persists, consult the clinician for additional guidance.

When a cast itches, the goal is to relieve irritation without compromising the cast or skin inside. The safest and most effective approach is to direct cool air into the cast, using a hair dryer set to the cool setting from a safe distance. Cool air can soothe the skin and reduce the urge to scratch without introducing moisture or object under the cast.

Avoid heat, which can increase itching or burn the skin; never massage or insert anything under the cast, since the skin beneath is not easily accessible and objects can cause skin injury or damage the cast. Also don’t remove the cast prematurely, as immobilization must be maintained unless a clinician directs otherwise. If itching persists, consult the clinician for additional guidance.