STRESS AND BURNS

Question 1

what are some metabolic consequences of stress?

Answer 1

• hormone release
• hypermetabolism (increased basal metabolic reate)
• increased reliance on gluconeogenesis
• shift in fluid balance
• decreased urine output
• acute-phase protein synthesis (CRP)

Question 2

what hormones get activated during a flight or fight response?

Answer 2

epinephrine (adrenaline), norepinephrine, glucagon, and cortisol

Question 3

flight or fight response may result in HYPOGLYCEMIA or HYPERGLYCEMIA?

Answer 3

hyperglycemia

Question 4

what is sepsis

Answer 4

uncontrolled inflammatory response to infection or trauma

Question 5

what is systemic inflammatory response syndrome (SIRS)

Answer 5

• additional classification of sepsis (not necessarily cause by an infectious process)
• may occur after major surgery or trauma

Question 6

what are some initial major signs of sepsis?

Answer 6

• increased white blood cell count
• increased heart rate
• respirations
• fever or hypothermia (low body temperature)

Question 7

what are some nutrition interventions for burns?

Answer 7

• reduction of protein catabolism
• avoidance of overfeeding and control of hyperglycemia
• nutrient supplementations

Question 8

what type of nutrient supplementations are important for burns?

Answer 8

• zinc
• selenium
• vitamin C
• vitamin E