STRESS AND BURNS Flashcards
1
Q
what are some metabolic consequences of stress?
A
- hormone release
- hypermetabolism (increased basal metabolic reate)
- increased reliance on gluconeogenesis
- shift in fluid balance
- decreased urine output
- acute-phase protein synthesis (CRP)
2
Q
what hormones get activated during a flight or fight response?
A
epinephrine (adrenaline), norepinephrine, glucagon, and cortisol
3
Q
flight or fight response may result in HYPOGLYCEMIA or HYPERGLYCEMIA?
A
hyperglycemia
4
Q
what is sepsis
A
uncontrolled inflammatory response to infection or trauma
5
Q
what is systemic inflammatory response syndrome (SIRS)
A
- additional classification of sepsis (not necessarily cause by an infectious process)
- may occur after major surgery or trauma
6
Q
what are some initial major signs of sepsis?
A
- increased white blood cell count
- increased heart rate
- respirations
- fever or hypothermia (low body temperature)
7
Q
what are some nutrition interventions for burns?
A
- reduction of protein catabolism
- avoidance of overfeeding and control of hyperglycemia
- nutrient supplementations
8
Q
what type of nutrient supplementations are important for burns?
A
- zinc
- selenium
- vitamin C
- vitamin E
