Perocho, Irene Ann L.

Non Modifiable Factors

Age

Gender

Modifiable Factors

Vehicle (ten wheeler truck)

Environment (South Luzon Express Way, fast moving

vehicles)

Right leg physical trauma due to vehicular accident

Break in the skin

Tissue damage

Bone cannot with hold the outside body force

Caused breaking of bones and tearing of tissues and lumens

Massive bleeding (Internally and Externally)

Nerve fibers that surround the bone becomes irritated

Loss of function and loss of blood access of the affected part ( right leg)

Decrease tissue perfusion

Impaired cellular metabolism

Tissue necrosis

Above knee amputation done

Decreased intravascular volume

Decreased cardiac output

Secretion of ADH and

Aldosterone

Shift of interstitial

fluid

Secretion of Catecholamine

Increase fluid volume

Increased Heart rate and force of contraction

Increased systemic vascular

resistance

Increased cardiac output

Continued volume loss Decrease systemic pressure Decrease pulmonary pressure

Decrease Cardiac output

HYPOVOLEMIC SHOCK

Compensatory mechanism begin to fail

PainOpportunistic Parasite

enters the open wounds through a

cochliomyia

Secondary screw worm matures

Produce myiasis