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  • What Is The Interpretation of Laboratory Examination

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    The laboratory examination shows elevated glucose, elevated blood urea nitrogen, and decreased albumin, indicating metabolic stress from multiple trauma. Metabolic stress occurs in two phases - an initial "ebb" phase lasting 12-24 hours where blood pressure and temperature decrease and catabolism increases, followed by a "flow" phase of hypercatabolism and increased oxygen use where nutrition must be provided to support tissue repair and organ function recovery. The metabolic changes are stimulated by the brain and hormones like ACTH, glucagon, insulin, aldosterone, and epinephrine.

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    The laboratory examination shows elevated glucose, elevated blood urea nitrogen, and decreased albumin, indicating metabolic stress from multiple trauma. Metabolic stress occurs in two phases - an initial "ebb" phase lasting 12-24 hours where blood pressure and temperature decrease and catabolism increases, followed by a "flow" phase of hypercatabolism and increased oxygen use where nutrition must be provided to support tissue repair and organ function recovery. The metabolic changes are stimulated by the brain and hormones like ACTH, glucagon, insulin, aldosterone, and epinephrine.

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    What Is The Interpretation of Laboratory Examination

    Uploaded by

    sri helna
    The laboratory examination shows elevated glucose, elevated blood urea nitrogen, and decreased albumin, indicating metabolic stress from multiple trauma. Metabolic stress occurs in two phases - an initial "ebb" phase lasting 12-24 hours where blood pressure and temperature decrease and catabolism increases, followed by a "flow" phase of hypercatabolism and increased oxygen use where nutrition must be provided to support tissue repair and organ function recovery. The metabolic changes are stimulated by the brain and hormones like ACTH, glucagon, insulin, aldosterone, and epinephrine.

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    of 3

    What is the interpretation of laboratory

    examination

    • Glucose : 136 mg/dl → glucose ↑


    • Blood Urea Nitrogen : 35 mg/dl → BUN↑
    • Albumin 3 g/dl → Albumin ↓
    Stress metabolic
    Multiple trauma is of the metabolic stress
    Stress metabolic consist of 2 phase :
    1. Phase ebb
    early after trauma. There are some body’s compensation :
    blood pressure ↓, cold extremities, fall of heart ↓, temperature ↓, ↑
    glucagon hormone, catecholamine, free fat acid ↑.
    this phase during 12-24 hours.
    in phase ebb don’t give nutrition, but we must fluid resuscitation.

    2. Phase flow
    terjadi hypercatabolisme and ↑using of O2
    this is for repair damage tissue and rescue the function of organ.
    in this phase we must give the patient nutrition (enteral or parenteral)
    Stress / trauma

    Stimulate brain (pityutari)


    ACTH ↑

    Cortexes pancreas
    adrenal
    Glucagon↑ ↑catabolisme
    carbohidrat, protein, fat Insulin ↓
    Nitrogen urine ↑
    Aldosteron ↑ Resistance cell
    Albumin ↓ periphery

    Epinephrine ↑ Glucose ↑

    Norephinefrin↑

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