Basic Information About Cold Packs

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There are two kinds of Cold Packs:

  • Cold Pack No. 1 – this is used for reducing temperature (duration is 30 minutes).

  • Cold Pack No. 2 – this is used for its sedative effect (duration is 1 hour or longer).

The equipment used for Cold Packs

  • Three (3) Sheets

  • One (1) Bath Towel

  • Two (2) Wash Cloths

  • One (1) Hand Towel

  • Ice Cap with cover

  • Basin of Water with desired temperature

  • Bottle of Alcohol 50% in warm water

  • One (1) Rubber Sheet for Cold Pack No. 1 and  Two (2) Rubber Sheets in Cold Pack No.2)

  • Hot Water Bag (130 0F) with cover

Important Things to remember in applying Cold Pack

  • You should apply cold pack at the head and hot water bag at the feet.

  • You should watch for untoward reaction and symptoms; irregular sensation.

  • You should avoid exposure of patient while placing in and removing from pack.

How to do Cold Pack No. 1

  1. First, you should explain the treatment to the patient to make him/her relax and comfortable while doing the procedure.

  2. Screen the patient well.

  3. Prepare and assemble all equipment necessary and take to bedside.

  4. Fanfold sheet before placing in the basin – fold sheet crosswise, (unless patient is very tall and width of sheet will not suffice in which case, fold sheet lengthwise and use two sheets) leave out about a third and fanfold the rest—this side is to go under the patient.

  5. You must loosen the sheet.

  6. Remove gown, and turn patient to side.

  7. Adjust rubber sheet (Over pillow).Wring wet sheet from you and adjust over rubber sheet.  Turn the patient towards you and unroll the rubber sheet.

  8. Full out longer side of sheet, pass under one arm and over the opposite arm, then back again over the other one (the two surfaces of the body should met.)

  9. Remove sheet covering the patient.

  10. Put ice cap to head and hot water bag to feet.

  11. Put a towel under the patient’s head so she does not lie directly on the rubber sheet.

  12. You sponge face every now and then give some hot nourishment.

  13. Sprinkle water over the packed body with the wash cloth every now and then.  Do not rub over pack too much friction on skin.

  14. Take the pulse periodically on the temporal region and watch color of the patient—if the patient does not show signs of depression, have the patient on the pack for 30 minutes continually sprinkling cold water.

  15. After the desired time, put a blanket over the patient.

  16. Remove the wet sheet, and rub alcohol over chest and extremities until dry.

  17. Turn patient on his side and roll wet sheet rubber toward the center.

  18. Rub back with alcohol until dry.

  19. Dry body well before turning patient over. 

  20. Replace wet sheet with a new one.

  21. Put on the gown.

  22. Refill hot water bag if necessary.

  23. Make patient comfortable.

  24. Hang wet equipment on an empty screen and leave out on porch to dry. 

How to do Cold Pack No. 2

  1. First, you should explain the treatment to the patient to make him/her relax and comfortable while doing the procedure.

  2. Screen the patient well.

  3. Prepare and assemble all equipment necessary and take to bedside.

  4. Fanfold sheet before placing in the basin – fold sheet crosswise, (unless patient is very tall and width of sheet will not suffice in which case, fold sheet lengthwise and use two sheets) leave out about a third and fanfold the rest—this side is to go under the patient.

  5. You must loosen the sheet.

  6. Remove gown, and turn patient to side.

  7. Adjust rubber sheet (Over pillow).Wring wet sheet from you and adjust over rubber sheet.  Turn the patient towards you and unroll the rubber sheet.

  8. Full out longer side of sheet, pass under one arm and over the opposite arm, then back again over the other one (the two surfaces of the body should met.)

  9. Bring up both sides on the rubber sheet; adjust other rubber sheet on top.

  10. Adjust a towel under the head of the patient and under the chin.

  11. Place the rest of the blanket over the rubber sheet.

  12. Leave the patient in the pack for 1-2 hours or longer if necessary.

  13. Stay with patient – take pulse on temporal region – offer drinks frequently as of the start.

  14. After the desired effect is obtained —over the patient dry blanket, remove the top rubber sheet and blanket.

  15. Remove the wet sheet, rub alcohol over chest and extremities.

  16. Turn patient on his side, and roll wet sheet and rubber sheet towards the center.

  17. Rub back with alcohol until dry.

  18. Dry body well before turning patient over; then remove the rubber sheet and wet sheets.

  19. Replace wet blanket with the top sheet and a dry blanket.

  20. Assist patient in putting on gown.

  21. Make patient comfortable.

  22. Empty water from basin and take out wet equipment.

  23. Hang wet linen on empty screen and leave out on porch to dry if to be used again.

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