Effects of Immobilization: Muscular system--> Decreased muscle strength and endurance Atrophy Loss of joint mobility Skeletal system Bone demineralization Negative calcium balance Cardiovascular system Orthostatic intolerance Increased workload of the heart Thrombus formation
Respiratory system Decreased respiratory effort Reduction in normal movement of secretions
Gastrointestinal system Decreased mobility of the bowel Risk for aspiration
Renal system Renal statis Hypercalcemia (renal calculi) Metabolism Decreased metabolic rate Decreased production of stress hormones
Integumentary system Decreased circulation and pressure leading to decreased healing capacity Risk for ischemia and damage
Urinary system Alteration of gravitational force Difficulty voiding in supine position Urinary retention Impaired ureteral peristalsis
Effects of Immobilization: Muscular system--> Decreased muscle strength and endurance Atrophy Loss of joint mobility Skeletal system Bone demineralization Negative calcium balance Cardiovascular system Orthostatic intolerance Increased workload of the heart Thrombus formation
Respiratory system Decreased respiratory effort Reduction in normal movement of secretions
Gastrointestinal system Decreased mobility of the bowel Risk for aspiration
Renal system Renal statis Hypercalcemia (renal calculi) Metabolism Decreased metabolic rate Decreased production of stress hormones
Integumentary system Decreased circulation and pressure leading to decreased healing capacity Risk for ischemia and damage
Urinary system Alteration of gravitational force Difficulty voiding in supine position Urinary retention Impaired ureteral peristalsis
Trauma is leading cause of death in children older than 1 year Aspects of injury are affected by the developmental stage of child Unintentional injuries are the leading cause of death in children 1 to19 years.
Generalized swelling Pain or tenderness Diminished functional use May have bruising, severe muscular rigidity, crepitus Diagnostic Evaluation—x-ray is the most useful diagnostic tool Therapeutic management goals
Pain and point of tenderness Pulse—distal to the fracture site Pallor Paresthesia—sensation distal to the fracture site Paralysis—movement distal to the fracture site
Assess for the 5 P's: Pain, Pallor, Pulselessness, parasthesia, paralysis
Remove Bandage Immediately! Allow for free blood flow to the blood vessels. If not caught quickly enough you may have to have a FASCIOTOMY. (page 1265)