Flashcards in Major trauma Deck (12):
3 systemic responses to injury?
increased minute ventilation
What do we see happens with metabolism? Where does it go to?
Amino acids go to wound healing and acute phase proteins, glucose goes to major organs and wound healing
Pains main role during major trauma we want to avoid is?
INcreases the metabolic rate even more.
pre emptive analgesia is better than post wounding
Can nutritional intake prevent catabolism?
No can just limit it
2 tissues we lose with major trauma
Adipose and skeletal muscle
there is often major volume loss in the homeostatic response this stimulates what two apparatuses? Which releases what two hormones respectively?
What are 3 serious consequences of underperfusion
How does major trauma stimulate hormone release?
Massive release of ACTH which causes subsequent release of cortisol and catecholamines
Catecholamines and cortisol both stimulate the production of inevitably what?
lower insulin and increase glucagon
What 3 factors associated with the endocrine reponse to major trauma increase the immune suppression of an animal
endocrine response directly
increased metabolic rate
decreased nutritional status
4 controllable factors for minimizing the effects of major trauma