A & P- Pediatric trauma and Dehydration

Topics: Cardiopulmonary resuscitation, Muscle, Heart, Infant, Dehydration / Pages: 2 (615 words) / Published: Jul 2nd, 2014
- Following a severe spinal cord injury in the lumbar region, the voluntary muscles in the legs and the hips will be paralyzed. Describe the effects of the paralysis on the skeleton.
* As I begin this it might be wordy but, if anyone has any questions please ask, this being a perspective of a Paramedic and related references.
In the beginning stages of the trauma, there are many bodily processes that are affected, some are immediate, and some are a result of the insult to the surrounding structures. If the patient still being in a trauma ward of a hospital, the patient must be continually evaluated for any cardiac compromise that could be an issue from the swelling due to the injury. The description of how body systems and functionality are compromised begins with chemical changes that cascade to the possibility of irreversible damage. . (Sole, Klien, Mosley, 2005)
The cellular response secondary to the damage begins the with cell death with Na+ movement into the cells to begin the process of the edema as the influx of Ca++ begins it begins to breakdown the neurons and the eventual breakdown of the cells membrane and the cells rupture. As the assaults on the cells continue, it stimulates other body responses of the histamine, immune responses to begin the vasoconstriction of the blood vessels. (Sole, Klien, Mosley, 2005)
In the end the blood vessels eventually rupture with the spinal cord having a decrease in blood flow, there being irreversible neuro cell death and the patient is then given the diagnosis of a “complete lesion”, or total permanent loss of motor and sensory function below the injury. (Sole, Klien, Mosley, 2005) The effects of the paralysis on the skeleton are almost simultaneous after the trauma. The nerves that connect to all the connected areas die the dysfunction of the organs to include the bladder, intestines, and also the sexual areas. As there is decreased function of the musculature, the blood supplies to all areas are decreased



Bibliography: Mary L. Sole, D. L. (2005). Introduction to Critial Care Nursing. St. Louis, Mo: Elsevier-Saunders. Monica E. Kleinman, C. (2010). Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics, 172-179, 181.

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