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학습 자료 둘러보기 →The Ponseti method corrects clubfoot by applying counterpressure to the talar head. The manipulation and rigid cast create a high risk of neurovascular compromise, including compartment syndrome.
Perform a focused neurovascular assessment using the 5 Ps frequently during and after cast application: Pain (inconsolable crying with passive toe movement), Pallor, Pulselessness (use Doppler if needed), Paresthesia, and Paralysis.
An infant cannot verbalize symptoms. The nurse is the primary detector of early ischemia. Never apply lotions or petroleum jelly under the cast, as this causes skin breakdown and cast slippage.
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