Respuesta

metabólica al
TRAUMA
Leslie Sánchez
Valeria Sánchez

Dr. Cristian Gónzalez

Cirugia General
El metabolismo implica un espectro amplio de procesos
químicos necesarios para mantener la vida y posibilitar el
crecimiento, la curación, el desarrollo, la reproducción, la
homeostasis y la adaptación y respuesta al ambiente.

Definición de Metabolismo
Definición
El efecto de un trauma severo sobre el organismo es
entre otros factores un estrés metabólico, mismo que
desencadena una respuesta inicial por medio del cual se
pretende conservar energía sobre órganos vitales,
modular el sistema inmunológico y retrasar el
anabolismo.
 Fases de respuesta
Fase EBB (choque) Fase Flow aguda (catabolismo) Fase Flow adaptación (anabolismo)

Disminución en la perfusión tisular Aumento de glucocorticoides La respuesta hormonal decrece

gradualmente

Disminución en la velocidad metabólica Aumento de glucagón Disminuye la respuesta hipermetabólica

Disminuye VO2 Aumento de catecolaminas Se asocia a recuperación

Disminuye la temperatura Liberación de citocinas, mediadores Restauración potencial de las proteínas
lipídicos corporales

Disminuye la temperatura Producción de proteínas Curación de heridas en relación con el

aporte de nutrientes

Aumento en la excreta de N
Aumento en la velocidad metabólica

Aumenta el VO2
Alteración en el empleo de nutrientes
 Table of contents
01 02 03
About the patient Discussion Diagnosis
You can describe the topic of the You can describe the topic of the You can describe the topic of the
section here section here section here

04 05
Treatment Monitoring
You can describe the topic of the You can describe the topic of the
section here section here
 01
About the patient
You can enter a subtitle here if you need it
 Identifying information

Saturn Jupiter Venus

Saturn is a gas giant and has
several rings. This planet is
composed mostly of hydrogen
and helium. It’s the sixth
planet from the Sun and was
named after a Roman god
Jupiter is a gas giant and the
biggest planet in the Solar
System. It's the fourth-
brightest object in the night
sky and it was named after the
Roman god of the skies
Venus has a beautiful name
and is the second planet from
the Sun. It’s terribly hot and its
atmosphere is poisonous. It’s
the second-brightest natural
object in the night sky
 Patient medical history
Sarah Patterson
● Age: 40
● Gender: Female
● Allergies: None
● Location: Toronto, Canada

20XX 20XX 20XX

Mercury Mars Saturn

Mercury is the closest planet to Despite being red, Mars is Saturn is a gas giant and has
the Sun actually a cold place several rings
Awesome
words
 Review of systems
Mercury
Despite being red, Mars is actually a cold
place. It's full of iron oxide dust, which
gives the planet its reddish cast, and it’s
made of basalt
Jupiter
Jupiter is a gas giant and the biggest planet
in the Solar System. It's the fourth-
brightest object in the night sky. It was
named after a Roman god
Venus
Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot, even hotter than Mercury. It has a
toxic atmosphere
Mars
Saturn is a gas giant and has several rings.
It's composed mostly of hydrogen and
helium. It’s the sixth planet from the Sun
Physical examination
Mars
Despite being red, Mars is actually a cold
place. It's full of iron oxide dust, which
gives the planet its reddish cast

Earth
It’s the third planet from the Sun and the
only one that harbors life in the Solar
System. All humans live here

Jupiter
It’s a gas giant and the biggest planet in
the Solar System. It’s the fourth-brightest
object in the night sky
A picture is worth a thousand words
You can replace the image on the screen with your own work. Just right-click on it and select “Replace image”
 Discussion
“Neptune is the farthest planet from the Sun and the fourth-
largest in our Solar System!”

—Laura Patterson

“Mercury is the closest planet to the Sun and also the

smallest one in our Solar System”

—Monique Nelson

“Despite being red, Mars is a cold place. It’s full of iron

oxide dust, which gives the planet its reddish cast”

—John James
 Discussion summary

Do you know what helps you make your point clear?

Lists like this one:

● They’re simple
● You can organize your ideas clearly
● You’ll never forget to buy milk!

And the most important thing: the audience won’t miss

the point of your presentation
 Comparison
Neptune is the farthest planet from the Sun and the fourth-largest in
the Solar System!

Area Jupiter Venus Mars

Mercury is the closest Earth is also known as the Jupiter is the biggest planet
Area 1 planet to the Sun Blue Planet of them all

Mercury is the smallest Despite being red, Mars is Venus is extremely hot,
Area 2 planet of them all very cold even more than Mercury

Venus is the second planet Earth is the third planet Jupiter was named after a
Area 3 from the Sun from the Sun Roman god

Earth is the only planet that Venus has extremely Saturn is composed of
Area 4 harbors life high temperatures hydrogen and helium
 Common diabetic diseases

33 60 90
% % %
Mercury Venus Mars
It’s the closest planet to the Venus has a beautiful name Despite being red, Mars is
Sun and the smallest in the and is the second planet from actually a cold place. It’s full
Solar System the Sun of iron oxide dust

Mars
Despite being red, Mars is
actually a cold place. It's
full of iron oxide dust,
which gives the planet its
reddish cast
Earth
Earth is the third planet
from the Sun and the only
one that harbors life in the
Solar System. We all live
on this planet
Diagnosis
Venus
Venus has a beautiful name
and is the second planet
from the Sun. It’s terribly
hot, even hotter than
Mercury
Saturn
Saturn is a gas giant and
has several rings. It's
composed of hydrogen and
helium. It’s the sixth planet
from the Sun
Neptune
Neptune is the farthest
planet from the Sun. It's
also the fourth-largest
planet by diameter in the
Solar System
Jupiter
Jupiter is a gas giant and
the biggest planet in the
Solar System. It's the
fourth-brightest object in
the night sky
 Treatment

Mercury
Mercury is the closest planet to the
Sun and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. This planet’s name has nothing
to do with the liquid metal, since
Mercury was named after the Roman
messenger god
Venus
Venus has a beautiful name and is the
second planet from the Sun. It’s
terribly hot—even hotter than Mercury
—and its atmosphere is extremely
poisonous. It’s the second-brightest
natural object in the night sky after the
Moon
 Patient monitoring
Venus is the second planet from Jupiter is the biggest planet of
Week 1 the Sun Week 2 them all

18% 50%
42% 27%

Despite being red, Mars is a Saturn is a gas giant and has

Week 3 cold place Week 4 several rings

100% 99%
37% 34%
 Increase in diabetes
Men
Despite being red, Mars is
actually a cold place

Women
Mercury is the smallest
planet of them all

Other
Earth is the beautiful planet
on which we live

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
6,089,987
Big numbers catch your audience’s attention
 Contraindications & indications

Contraindications Indications
● Describe the reasons to stop the ● Describe the reasons to start the
treatment here treatment here
● Describe the reasons to stop the ● Describe the reasons to start the
treatment here treatment here
● Describe the reasons to stop the ● Describe the reasons to start the
treatment here treatment here
● Describe the reasons to stop the ● Describe the reasons to start the
treatment here treatment here
 Post-prevention

Mercury Mars
Mercury is the closest planet Despite being red, Mars is
to the Sun and the smallest of actually a cold place. It's full
them all of iron oxide dust

Venus Saturn
Venus has a beautiful name Jupiter is a gas giant and the
and is the second planet from biggest planet in the Solar
the Sun System
 Case timeline
1xxx 1xxx 2xxx
Mercury is the closest planet Venus has a beautiful name Despite being red, Mars is
to the Sun and the smallest and is the second planet actually a cold place. It's full
of them all from the Sun of iron oxide dust

1xxx 2xxx
Jupiter is a gas giant and the Neptune is the fourth-largest
biggest planet in the Solar planet in the Solar System
System
Our hospitals

Mars
Despite being red, Mars is actually a
cold place. It's full of iron oxide dust

Venus
Venus has a beautiful name and is the
second planet from the Sun

Jupiter
Jupiter is a gas giant and the biggest
planet in the Solar System
 Computer mockup
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 Conclusions
● Mercury is the closest planet to the Sun and the smallest one in the Solar
System
● Mercury’s name has nothing to do with the liquid metal, since Mercury
was named after a Roman god
● Venus has a beautiful name and is the second planet from the Sun. It’s
terribly hot, even hotter than Mercury, and its atmosphere is extremely
poisonous
● Earth is the third planet from the Sun and the only one that harbors life
in the Solar System. This is where we all live
● Jupiter is a gas giant and the biggest planet in the Solar System. It's the
fourth-brightest object in the night sky
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