Which of the following hormones are increased due to stress during surgery, especially in DM
A. Epinephrine
B. GH
C. Glucocorticoids
D. Thyroxine
E. None
Ans. A.Epanephrine, (B)GH, (C)Glucocorticoids
•
Hormone mediated response due to stress during surgery, there is increased
activity of:
—
Epinephrine
— Resistance of insulin
— Secretion of costisol and growth hormone.
• Metabolic responses to stress: Increased levels of:
— Cytokines
— Glucagon
— Cortisol
— Catecholamines
—Insulin
• One form of stress that is cold,
specially in neonate causes increased TRH secretion due to depressed metabolism
of neurons in pre-optic are by cooling thus release inhibitory discharge ;
permitting secretion of TRH.
