SlideShare ist ein Scribd-Unternehmen logo

Systemic Response To Injury

•Als PPT, PDF herunterladen•
•
M
MD Specialclass

Good luck Regards Surgery coordinator- Ravi

Bildung
1 von 80
SYSTEMIC RESPONSE TO INJURY James Taclin C. Banez, MD, FPSGS, FPCS
[object Object],[object Object]
[object Object],[object Object]
Systemic Inflammatory Response Syndrome (SIRS) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Terminologies Term Definition Infection Identifiable source of microbial insult SIRS Two or more following criteria: - Temp >/= 38C or </= 36C - Heart rate >/= 90 beats/min - Respiratory rate >/= 20 breaths/min or PaCO2 </= 32mmHg or mechanical ventilation - WBC >/= 12,000/ul or </= 4000/ul or >/= 10% band forms Sepsis Identifiable source of infection + SIRS Severe sepsis Sepsis + organ dysfunction Septic shock Sepsis + cardiovascular collapse (requiring vasopressor support)
Central Nervous System Regulation of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Central Nervous System Regulation of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Neuro-Endocrine Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Neuro-Endocrine Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Neuro-Endocrine Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Neuro-Endocrine Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Neuro-Endocrine Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hormone Response to Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mediators of Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cytokines ,[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CYTOKINES ,[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell-Mediated Inflammatory Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelium-Mediated Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelium-Mediated Injury ,[object Object]
Endothelium-Mediated Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelium-Mediated Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelium-Mediated Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
END OF FIRST PART
Metabolic Changes and Nutritional Management of Surgical Patients James Taclin C. Banez, MD, FPSGS, FPCS
Majority of surgical patients: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Patients that Needs Nutritional Support ,[object Object],[object Object],[object Object]
Metabolic Changes in Surgical Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic Response to Starvation ,[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object]
Metabolism of Injured Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

Empfohlen

Systemic response to injury and metabolic support
Systemic response to injury and metabolic support Systemic response to injury and metabolic support
Systemic response to injury and metabolic support
Dangelilee
 
Metabolic response to injury
Metabolic response to injury Metabolic response to injury
Metabolic response to injury
Uthamalingam Murali
 
Metabolic response to trauma
Metabolic response to trauma Metabolic response to trauma
Metabolic response to trauma
Youttam Laudari
 
Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16
surgerymgmcri
 
Hand infections
Hand infectionsHand infections
Hand infections
Nandinii Ramasenderan
 
Surgical Infections
Surgical InfectionsSurgical Infections
Surgical Infections
shabeel pn
 
Liver trauma
Liver traumaLiver trauma
Liver trauma
syed ubaid
 
Abdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaidAbdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaid
syed ubaid
 

Empfohlen

Systemic response to injury and metabolic support
Systemic response to injury and metabolic support Systemic response to injury and metabolic support
Systemic response to injury and metabolic support
Dangelilee
 
Metabolic response to injury
Metabolic response to injury Metabolic response to injury
Metabolic response to injury
Uthamalingam Murali
 
Metabolic response to trauma
Metabolic response to trauma Metabolic response to trauma
Metabolic response to trauma
Youttam Laudari
 
Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16
surgerymgmcri
 
Hand infections
Hand infectionsHand infections
Hand infections
Nandinii Ramasenderan
 
Surgical Infections
Surgical InfectionsSurgical Infections
Surgical Infections
shabeel pn
 
Liver trauma
Liver traumaLiver trauma
Liver trauma
syed ubaid
 
Abdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaidAbdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaid
syed ubaid
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
zubinpancharia
 
Fluid and electrolyte management in surgical patients.
Fluid and electrolyte management in surgical patients.Fluid and electrolyte management in surgical patients.
Fluid and electrolyte management in surgical patients.
KETAN VAGHOLKAR
 
Right hemicolectomy
Right hemicolectomyRight hemicolectomy
Right hemicolectomy
Warujpong Boonkum
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
Mohammed Haneef Farooq
 
Septic arthritis
Septic arthritisSeptic arthritis
Septic arthritis
orthoprince
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal trauma
Faiz Hmoud
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
kavya bhola
 
Haemostasis in surgery
Haemostasis in surgeryHaemostasis in surgery
Haemostasis in surgery
CHRIS ALUMONA
 
Surgical infections
Surgical infectionsSurgical infections
Surgical infections
drssp1967
 
Fat Embolism.pptx
Fat Embolism.pptxFat Embolism.pptx
Fat Embolism.pptx
All India Institute of Medical Sciences, Bhopal
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
Priyatham Kasaraneni
 
Damage control surgery
Damage control surgeryDamage control surgery
Damage control surgery
Bashir BnYunus
 
Sirs
SirsSirs
Sirs
Dr. Dipesh Yadav
 
Sirs mods
Sirs modsSirs mods
Sirs mods
L RAMU
 
Endpoints of Resuscitation
Endpoints of ResuscitationEndpoints of Resuscitation
Endpoints of Resuscitation
Md Rabiul Alam
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
Nur Izzatul Najwa
 
Penetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency ManagementPenetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency Management
SCGH ED CME
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
Sudarsan Agarwal
 
Enterocutaneous fistulas
Enterocutaneous fistulasEnterocutaneous fistulas
Enterocutaneous fistulas
Dr. Anurag yadav
 
systemic inflammatory response syndrome (SIRS)
systemic inflammatory response syndrome (SIRS)systemic inflammatory response syndrome (SIRS)
systemic inflammatory response syndrome (SIRS)
Nilesh Kucha
 
Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic support
drjessieboy
 
Injury Coughlin 7 7 08
Injury Coughlin 7 7 08Injury Coughlin 7 7 08
Injury Coughlin 7 7 08
axix
 

Weitere ähnliche Inhalte

Was ist angesagt?

Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
zubinpancharia
 
Septic arthritis
Septic arthritisSeptic arthritis
Septic arthritis
orthoprince
 

Was ist angesagt? (20)

Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
 
Fluid and electrolyte management in surgical patients.
Fluid and electrolyte management in surgical patients.Fluid and electrolyte management in surgical patients.
Fluid and electrolyte management in surgical patients.
 
Right hemicolectomy
Right hemicolectomyRight hemicolectomy
Right hemicolectomy
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
 
Septic arthritis
Septic arthritisSeptic arthritis
Septic arthritis
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal trauma
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 
Haemostasis in surgery
Haemostasis in surgeryHaemostasis in surgery
Haemostasis in surgery
 
Surgical infections
Surgical infectionsSurgical infections
Surgical infections
 
Fat Embolism.pptx
Fat Embolism.pptxFat Embolism.pptx
Fat Embolism.pptx
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Damage control surgery
Damage control surgeryDamage control surgery
Damage control surgery
 
Sirs
SirsSirs
Sirs
 
Sirs mods
Sirs modsSirs mods
Sirs mods
 
Endpoints of Resuscitation
Endpoints of ResuscitationEndpoints of Resuscitation
Endpoints of Resuscitation
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 
Penetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency ManagementPenetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency Management
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 
Enterocutaneous fistulas
Enterocutaneous fistulasEnterocutaneous fistulas
Enterocutaneous fistulas
 
systemic inflammatory response syndrome (SIRS)
systemic inflammatory response syndrome (SIRS)systemic inflammatory response syndrome (SIRS)
systemic inflammatory response syndrome (SIRS)
 

Andere mochten auch

Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic support
drjessieboy
 
Injury Coughlin 7 7 08
Injury Coughlin 7 7 08Injury Coughlin 7 7 08
Injury Coughlin 7 7 08
axix
 
Systemic metabolic response to injures
Systemic metabolic response to injures Systemic metabolic response to injures
Systemic metabolic response to injures
salahudin ahadi
 
Hemostasis
HemostasisHemostasis
Hemostasis
IIDC
 
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
prashanthsangu
 
Chapter 13 And 15 Fluid Imbalances
Chapter 13 And 15 Fluid ImbalancesChapter 13 And 15 Fluid Imbalances
Chapter 13 And 15 Fluid Imbalances
Brandon Cooper
 
Application of simulation in anesthesia Application of simulation in anesth...
Application of simulation in anesthesia Application of simulation in anesth...Application of simulation in anesthesia Application of simulation in anesth...
Application of simulation in anesthesia Application of simulation in anesth...
MedicineAndHealth
 
Local analgesia in animals_ Dr. Awad Rizk
Local analgesia in animals_ Dr. Awad RizkLocal analgesia in animals_ Dr. Awad Rizk
Local analgesia in animals_ Dr. Awad Rizk
Awad Rizk
 
2.mnt for metabolic stress burn...
2.mnt for metabolic stress burn...2.mnt for metabolic stress burn...
2.mnt for metabolic stress burn...
Wan Hazirah
 

Andere mochten auch (20)

Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic support
 
Injury Coughlin 7 7 08
Injury Coughlin 7 7 08Injury Coughlin 7 7 08
Injury Coughlin 7 7 08
 
Physiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaPhysiological Responses to Surgery & Trauma
Physiological Responses to Surgery & Trauma
 
Systemic metabolic response to injures
Systemic metabolic response to injures Systemic metabolic response to injures
Systemic metabolic response to injures
 
1.sirs 060812
1.sirs 0608121.sirs 060812
1.sirs 060812
 
Coagulation Disorders
Coagulation DisordersCoagulation Disorders
Coagulation Disorders
 
Hemostasis
HemostasisHemostasis
Hemostasis
 
Homeostasis
HomeostasisHomeostasis
Homeostasis
 
Cell mediated immunity (presentation)
Cell mediated immunity (presentation)Cell mediated immunity (presentation)
Cell mediated immunity (presentation)
 
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
 
Surgery for Head Injury
Surgery for Head InjurySurgery for Head Injury
Surgery for Head Injury
 
Chapter 13 And 15 Fluid Imbalances
Chapter 13 And 15 Fluid ImbalancesChapter 13 And 15 Fluid Imbalances
Chapter 13 And 15 Fluid Imbalances
 
mAb
mAbmAb
mAb
 
CYTOKINES LECTURE BY HILLARY SEBUKOTO MDII KCM-COLLEGE, TANZANIA
CYTOKINES LECTURE BY HILLARY SEBUKOTO MDII KCM-COLLEGE, TANZANIACYTOKINES LECTURE BY HILLARY SEBUKOTO MDII KCM-COLLEGE, TANZANIA
CYTOKINES LECTURE BY HILLARY SEBUKOTO MDII KCM-COLLEGE, TANZANIA
 
Application of simulation in anesthesia Application of simulation in anesth...
Application of simulation in anesthesia Application of simulation in anesth...Application of simulation in anesthesia Application of simulation in anesth...
Application of simulation in anesthesia Application of simulation in anesth...
 
Sirs
SirsSirs
Sirs
 
Local analgesia in animals_ Dr. Awad Rizk
Local analgesia in animals_ Dr. Awad RizkLocal analgesia in animals_ Dr. Awad Rizk
Local analgesia in animals_ Dr. Awad Rizk
 
2.mnt for metabolic stress burn...
2.mnt for metabolic stress burn...2.mnt for metabolic stress burn...
2.mnt for metabolic stress burn...
 
335 Surgical management of traumatic brain injury
335 Surgical management of traumatic brain injury335 Surgical management of traumatic brain injury
335 Surgical management of traumatic brain injury
 
Hemostasis and methods to control bleeding
Hemostasis and methods to control bleedingHemostasis and methods to control bleeding
Hemostasis and methods to control bleeding
 

Ähnlich wie Systemic Response To Injury

19. adrenal glands
19. adrenal glands19. adrenal glands
19. adrenal glands
Nasir Koko
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
internalmed
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
internalmed
 
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
internalmed
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
internalmed
 
Anaesthesia Management Thyroid by Dr. Animesh
Anaesthesia Management Thyroid by Dr. AnimeshAnaesthesia Management Thyroid by Dr. Animesh
Anaesthesia Management Thyroid by Dr. Animesh
19anisingh
 
Autac5hthistamine
Autac5hthistamineAutac5hthistamine
Autac5hthistamine
冠宇 姜
 
Pharmacology lecture ......................
Pharmacology lecture ......................Pharmacology lecture ......................
Pharmacology lecture ......................
Mohamed Ibrahim
 
Adrenalgland
AdrenalglandAdrenalgland
Adrenalgland
MoH
 

Ähnlich wie Systemic Response To Injury (20)

19. adrenal glands
19. adrenal glands19. adrenal glands
19. adrenal glands
 
Update.Adrenal Functionand Tests.pptx
Update.Adrenal Functionand Tests.pptxUpdate.Adrenal Functionand Tests.pptx
Update.Adrenal Functionand Tests.pptx
 
ADRENAL GLAND.pptx
ADRENAL GLAND.pptxADRENAL GLAND.pptx
ADRENAL GLAND.pptx
 
Lect 1-pituitary insufficiency
Lect 1-pituitary insufficiencyLect 1-pituitary insufficiency
Lect 1-pituitary insufficiency
 
ADRENAL GLAND
ADRENAL GLAND ADRENAL GLAND
ADRENAL GLAND
 
Endocrine
EndocrineEndocrine
Endocrine
 
Conspectus Of Disease
Conspectus Of DiseaseConspectus Of Disease
Conspectus Of Disease
 
Migrane
MigraneMigrane
Migrane
 
Glucorticoid Presentation
Glucorticoid PresentationGlucorticoid Presentation
Glucorticoid Presentation
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
Diseases of adrenal cortex and medulla
Diseases of adrenal cortex and medullaDiseases of adrenal cortex and medulla
Diseases of adrenal cortex and medulla
 
abdi Hrmone.pptx
abdi Hrmone.pptxabdi Hrmone.pptx
abdi Hrmone.pptx
 
Anaesthesia Management Thyroid by Dr. Animesh
Anaesthesia Management Thyroid by Dr. AnimeshAnaesthesia Management Thyroid by Dr. Animesh
Anaesthesia Management Thyroid by Dr. Animesh
 
Autac5hthistamine
Autac5hthistamineAutac5hthistamine
Autac5hthistamine
 
Pharmacology lecture ......................
Pharmacology lecture ......................Pharmacology lecture ......................
Pharmacology lecture ......................
 
regulation of cortisol.pptx
regulation of cortisol.pptxregulation of cortisol.pptx
regulation of cortisol.pptx
 
Adrenalgland
AdrenalglandAdrenalgland
Adrenalgland
 

Mehr von MD Specialclass

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
MD Specialclass
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutrition
MD Specialclass
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headaches
MD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
MD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
MD Specialclass
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
MD Specialclass
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
MD Specialclass
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
MD Specialclass
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
MD Specialclass
 

Mehr von MD Specialclass (20)

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutrition
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headaches
 
Acute brain attack 911
Acute brain attack 911Acute brain attack 911
Acute brain attack 911
 
Hema intro anemia
Hema intro anemiaHema intro anemia
Hema intro anemia
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
Fever & id diet final
Fever & id diet finalFever & id diet final
Fever & id diet final
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Thyroid
ThyroidThyroid
Thyroid
 
Dermatology dr.n.ramos
Dermatology dr.n.ramosDermatology dr.n.ramos
Dermatology dr.n.ramos
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
 
Liver disease
Liver diseaseLiver disease
Liver disease
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
 

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.
 
Sociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning ExhibitSociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning Exhibit
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.
 
Single or Multiple melodic lines structure
Single or Multiple melodic lines structureSingle or Multiple melodic lines structure
Single or Multiple melodic lines structure
 
Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdf
 
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
 
Understanding Accommodations and Modifications
Understanding Accommodations and ModificationsUnderstanding Accommodations and Modifications
Understanding Accommodations and Modifications
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
 
Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptx
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan Fellows
 
Wellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptxWellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptx
 
Fostering Friendships - Enhancing Social Bonds in the Classroom
Fostering Friendships - Enhancing Social Bonds in the ClassroomFostering Friendships - Enhancing Social Bonds in the Classroom
Fostering Friendships - Enhancing Social Bonds in the Classroom
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentation
 
Unit 3 Emotional Intelligence and Spiritual Intelligence.pdf
Unit 3 Emotional Intelligence and Spiritual Intelligence.pdfUnit 3 Emotional Intelligence and Spiritual Intelligence.pdf
Unit 3 Emotional Intelligence and Spiritual Intelligence.pdf
 
Plant propagation: Sexual and Asexual propapagation.pptx
Plant propagation: Sexual and Asexual propapagation.pptxPlant propagation: Sexual and Asexual propapagation.pptx
Plant propagation: Sexual and Asexual propapagation.pptx
 
Jamworks pilot and AI at Jisc (20/03/2024)
Jamworks pilot and AI at Jisc (20/03/2024)Jamworks pilot and AI at Jisc (20/03/2024)
Jamworks pilot and AI at Jisc (20/03/2024)
 
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdfUGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
 

Systemic Response To Injury

  • 1. SYSTEMIC RESPONSE TO INJURY James Taclin C. Banez, MD, FPSGS, FPCS
  • 2.
  • 3.
  • 4.
  • 5. Terminologies Term Definition Infection Identifiable source of microbial insult SIRS Two or more following criteria: - Temp >/= 38C or </= 36C - Heart rate >/= 90 beats/min - Respiratory rate >/= 20 breaths/min or PaCO2 </= 32mmHg or mechanical ventilation - WBC >/= 12,000/ul or </= 4000/ul or >/= 10% band forms Sepsis Identifiable source of infection + SIRS Severe sepsis Sepsis + organ dysfunction Septic shock Sepsis + cardiovascular collapse (requiring vasopressor support)
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59. END OF FIRST PART
  • 60. Metabolic Changes and Nutritional Management of Surgical Patients James Taclin C. Banez, MD, FPSGS, FPCS
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.  

Hinweis der Redaktion

  1. Ree and duration of (-)