In an acute shock situation, the body shuts down many of its functions in the interest of addressing the patient's most-urgent problem.
In addition to reduced kidney function, the patient's brain function slows down; she may appear lethargic, have difficulty talking, and eventually lapse into a coma. This is due to the body's diverting blood supply from the brain, which typically takes 20% of oxygen and nutrition, to other areas which require it most.
The woman's broken cells will put out markers for tissue injury: in the case of the liver, the SGPT and SGOT enzymes will be elevated, indicating liver damage. General enzyme levels indicating systemic injury will also climb, including myoglobin, various tissue factor antigens, endotoxins and a series of other enzymes which are released upon cell destruction. If the initial concern was the spleen, kidney and liver, it may also make sense for the attending ER physician to check pancreatic, stomach, heart- and lung-specific enzymes to monitor additional damage.
As mentioned previously, the woman's response can result in actions deleterious to her prognosis. These include:
release of too many cytokines at one time can cause generalized inflammation, breathing difficulties, and a faster bleeding-out.
The release of too many platelets at one time depletes the body's reservoir, and makes chances of further bleeding increase.
The rush of blood to the woman's...
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