Page 9 - PowerPoint Presentation
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Hypermetabolism develops due to secretion of
           stress hormones, such as cortisol, catecholamines

           and glucagon. Profound catabolism, due to

           suppression of anabolic hormones such as growth
           hormones and insulin, results in muscle protein

           breakdown.                Clinically,          patients           may          have

           tachycardia, hyperthermia and muscle wasting.



           Immunosuppression, bacterial translocation from

           intestine, acute lung injury (Acute Respiratory

           Distress        Syndrome),               concomitant                inhalational
           injury may also lead to sepsis, shock or even

           mortality
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