CRITICAL CARE PARAMEDIC (KYLE FAUDREE'S FLIGHT
PARAMEDIC CERTIFICATION) STUDY GUIDE QUESTIONS
AND ANSWERS 2024 - 2025
Hyperthyroidism/Grave's,Disease/Thyrotoxicosis/"Thyroid,Storm",(pg.111),,ANS,-
,,Patient,presents,with,weight,loss,,palpitations,,nervousness,,heat,intolerance
Exophthalmos,(AKA,proptosis),'bulging,of,the,eye'
AVOID,Aspirin,(ASA),-,Prevents,binding,of,thyroglobulin,,making,the,situation,worse
Treatment:,IV,Fluids,1st,,Beta,Blockers,(Propanolol),,Steroids,(Dexamethasone),,and,Tylenol,for,fever.
Septic,Shock,(pg.113),,ANS,-
,,Someone,who,is,in,shock,second,degree,to,sepsis,(infection,in,the,bloodstream)
Hypotensive,with,normal,HR
Hypotensive,while,being,refractory,to,fluids
Patient,needs,IV,fluid,therapy,and,vasopressors
Levophed,(Norepinephrine),is,vasopressor,of,choice,in,profound,hypotension
Do,not,use,Etomidate,in,RSI,(due,to,its,adrenal,suppression),*Also,do,not,use,Etomidate,in,Addison's,Dise
ase,also,due,to,the,adrenal,suppression
Pancreatitis,(pg.113),,ANS,-
,,Pain,that,is,usually,centered,in,the,upper,middle,or,upper,left,abdomen.,Often,radiates,from,the,front,o
f,the,abdomen,through,to,the,back,,begins,or,worsens,after,eating,,lasts,a,few,days,,and,may,feel,worse,
when,a,person,lies,flat,on,their,back.,
,The,digestive,enzymes,in,the,pancreas,are,destroying,the,pancreas.,
Increased,lipase,levels,(usually,>3x,normal)
*Amylase,may,also,be,increased,but,Faudree,did,not,preface,this,in,his,study,guide,notes.
Demerol,for,pain,(b/c,Morphine,has,the,ability,to,cause,spasms,of,the,Sphincter,of,Oddi)
Typically,requires,surgical,intervention.
Grey,Turner's,Sign,(pg.113),,ANS,-,,Flank,ecchymosis,caused,by,hemorrhagic,pancreatitis.
Cullen's,Sign,(pg.,113),,ANS,-,,Periumbilical,ecchymosis,caused,by,hemorrhagic,pancreatitis.
Hypothyroidism/Myxedema,Coma,(pg.,112),,ANS,-
,,Patient,presents,with,fatigue,,cold,intolerance,,weight,gain,,puffy,eyelids,,sparse,hair,,possibly,goiter.,
Primarily,occurs,in,women.
>90%,cases,in,winter,(b/c,the,patient,has,cold,intolerance,and,is,not,suffering,from,hypothermia)
Officially,Myxedema,Coma,upon,changes,in,LOC.,
Treatment:,Levothyroxine,(Synthroid),(T4),or,Triostat,(T3),IV
Cushing's,Syndrome,(pg.112),,ANS,-
,,Buffalo,hump,,moon,face,,thin,arms,and,legs,,purple,striae,on,abdomen.,
Causes:,Excessive,use,of,corticosteroids,(Iatrogenic,,from,corticosteroid,treatment(s)),or,Tumor
, Treatment:,Usually,resolves,when,corticosteroids,are,stopped,or,tumor,is,removed.
Adrenal,Insufficiency/Adrenal,Crisis,(pg.,112),,ANS,-,,Also,known,as,(AKA):,Addison's,Disease
Patient,presents,with,depression,,malaise,,salt,craving,,and,bronze,colored,skin,like,JFK.
Treatment:,Oral,steroids,(Prednisone)
Negative,Adrenocorticotropic,hormone,(ACTH),testing,,also,known,as,corticotropin,or,cosyntropin,test.,
No,Etomidate,in,RSI,due,to,adrenal,suppression.
Laboratory,Values,Basic,Metabolic,Panel,(BMP,or,CHEM7),(pg.106),,ANS,-
,,Sodium,(Na+),Primary,Extracellular,Cation:,135-145,mEq/L,[Helps,nerves,and,muscles,interact]
Potassium,(K+),Primary,Intracellular,Cation:,3.5-5.0,mEq/L,MOST,DANGEROUS,ABNORMALITY
[Responsible,for,cell,excitability,,resting,membrane,potential],
Chloride,(Cl-),Extracellular,Anion,95-
105,mEq/L,[Maintains,osmotic,pressure,,and,helps,the,stomach,produce,HCl,or,Hydrochloric,Acid]
Carbon,Dioxide,(CO2,gas),22-26,mEq/L,
[Acid,Base,Balance,contributor]
BUN,Blood,Urea,Nitrogen,6-24,mg/dL,
Indicates,ability,of,Renal,Clearance
Cr,Creatinine,0.7,-1.4,mg/dL,Renal,Clearance
