Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study
Guide
Hyperthyroidism/Grave's iiDisease/Thyrotoxicosis/"Thyroid iiStorm" ii(pg.111) ii- iiAnswers
ii-Patient iipresents iiwith iiweight iiloss, iipalpitations, iinervousness, iiheat iiintolerance
Exophthalmos ii(AKA iiproptosis) ii'bulging iiof iithe iieye'
AVOID iiAspirin ii(ASA) ii- iiPrevents iibinding iiof iithyroglobulin, iimaking iithe iisituation
iiworse
Treatment: iiIV iiFluids ii1st, iiBeta iiBlockers ii(Propanolol), iiSteroids ii(Dexamethasone),
iiand iiTylenol iifor iifever.
Septic iiShock ii(pg.113) ii- iiAnswers ii-Someone iiwho iiis iiin iishock iisecond iidegree iito
iisepsis ii(infection iiin iithe iibloodstream)
Hypotensive iiwith iinormal iiHR
Hypotensive iiwhile iibeing iirefractory iito iifluids
Patient iineeds iiIV iifluid iitherapy iiand iivasopressors
Levophed ii(Norepinephrine) iiis iivasopressor iiof iichoice iiin iiprofound iihypotension
Do iinot iiuse iiEtomidate iiin iiRSI ii(due iito iiits iiadrenal iisuppression) ii*Also iido iinot iiuse
iiEtomidate iiin iiAddison's iiDisease iialso iidue iito iithe iiadrenal iisuppression
Pancreatitis ii(pg.113) ii- iiAnswers ii-Pain iithat iiis iiusually iicentered iiin iithe iiupper iimiddle
iior iiupper iileft iiabdomen. iiOften iiradiates iifrom iithe iifront iiof iithe iiabdomen iithrough iito
iithe iiback, iibegins iior iiworsens iiafter iieating, iilasts iia iifew iidays, iiand iimay iifeel iiworse
iiwhen iia iiperson iilies iiflat iion iitheir iiback. ii
The iidigestive iienzymes iiin iithe iipancreas iiare iidestroying iithe iipancreas. ii
Increased iilipase iilevels ii(usually ii>3x iinormal)
*Amylase iimay iialso iibe iiincreased iibut iiFaudree iidid iinot iipreface iithis iiin iihis iistudy
iiguide iinotes.
, Demerol iifor iipain ii(b/c iiMorphine iihas iithe iiability iito iicause iispasms iiof iithe iiSphincter
iiof iiOddi)
Typically iirequires iisurgical iiintervention.
Grey iiTurner's iiSign ii(pg.113) ii- iiAnswers ii-Flank iiecchymosis iicaused iiby iihemorrhagic
iipancreatitis.
Cullen's iiSign ii(pg. ii113) ii- iiAnswers ii-Periumbilical iiecchymosis iicaused iiby
iihemorrhagic iipancreatitis.
Hypothyroidism/Myxedema iiComa ii(pg. ii112) ii- iiAnswers ii-Patient iipresents iiwith
iifatigue, iicold iiintolerance, iiweight iigain, iipuffy iieyelids, iisparse iihair, iipossibly iigoiter. ii
Primarily iioccurs iiin iiwomen.
>90% iicases iiin iiwinter ii(b/c iithe iipatient iihas iicold iiintolerance iiand iiis iinot iisuffering
iifrom iihypothermia)
Officially iiMyxedema iiComa iiupon iichanges iiin iiLOC. ii
Treatment: iiLevothyroxine ii(Synthroid) ii(T4) iior iiTriostat ii(T3) iiIV
Cushing's iiSyndrome ii(pg.112) ii- iiAnswers ii-Buffalo iihump, iimoon iiface, iithin iiarms iiand
iilegs, iipurple iistriae iion iiabdomen. ii
Causes: iiExcessive iiuse iiof iicorticosteroids ii(Iatrogenic, iifrom iicorticosteroid
iitreatment(s)) iior iiTumor
Treatment: iiUsually iiresolves iiwhen iicorticosteroids iiare iistopped iior iitumor iiis iiremoved.
Adrenal iiInsufficiency/Adrenal iiCrisis ii(pg. ii112) ii- iiAnswers ii-Also iiknown iias ii(AKA):
iiAddison's iiDisease
Patient iipresents iiwith iidepression, iimalaise, iisalt iicraving, iiand iibronze iicolored iiskin
iilike iiJFK.
Treatment: iiOral iisteroids ii(Prednisone)
Negative iiAdrenocorticotropic iihormone ii(ACTH) iitesting, iialso iiknown iias iicorticotropin
iior iicosyntropin iitest. ii
No iiEtomidate iiin iiRSI iidue iito iiadrenal iisuppression.
Flight Paramedic Certification) Study
Guide
Hyperthyroidism/Grave's iiDisease/Thyrotoxicosis/"Thyroid iiStorm" ii(pg.111) ii- iiAnswers
ii-Patient iipresents iiwith iiweight iiloss, iipalpitations, iinervousness, iiheat iiintolerance
Exophthalmos ii(AKA iiproptosis) ii'bulging iiof iithe iieye'
AVOID iiAspirin ii(ASA) ii- iiPrevents iibinding iiof iithyroglobulin, iimaking iithe iisituation
iiworse
Treatment: iiIV iiFluids ii1st, iiBeta iiBlockers ii(Propanolol), iiSteroids ii(Dexamethasone),
iiand iiTylenol iifor iifever.
Septic iiShock ii(pg.113) ii- iiAnswers ii-Someone iiwho iiis iiin iishock iisecond iidegree iito
iisepsis ii(infection iiin iithe iibloodstream)
Hypotensive iiwith iinormal iiHR
Hypotensive iiwhile iibeing iirefractory iito iifluids
Patient iineeds iiIV iifluid iitherapy iiand iivasopressors
Levophed ii(Norepinephrine) iiis iivasopressor iiof iichoice iiin iiprofound iihypotension
Do iinot iiuse iiEtomidate iiin iiRSI ii(due iito iiits iiadrenal iisuppression) ii*Also iido iinot iiuse
iiEtomidate iiin iiAddison's iiDisease iialso iidue iito iithe iiadrenal iisuppression
Pancreatitis ii(pg.113) ii- iiAnswers ii-Pain iithat iiis iiusually iicentered iiin iithe iiupper iimiddle
iior iiupper iileft iiabdomen. iiOften iiradiates iifrom iithe iifront iiof iithe iiabdomen iithrough iito
iithe iiback, iibegins iior iiworsens iiafter iieating, iilasts iia iifew iidays, iiand iimay iifeel iiworse
iiwhen iia iiperson iilies iiflat iion iitheir iiback. ii
The iidigestive iienzymes iiin iithe iipancreas iiare iidestroying iithe iipancreas. ii
Increased iilipase iilevels ii(usually ii>3x iinormal)
*Amylase iimay iialso iibe iiincreased iibut iiFaudree iidid iinot iipreface iithis iiin iihis iistudy
iiguide iinotes.
, Demerol iifor iipain ii(b/c iiMorphine iihas iithe iiability iito iicause iispasms iiof iithe iiSphincter
iiof iiOddi)
Typically iirequires iisurgical iiintervention.
Grey iiTurner's iiSign ii(pg.113) ii- iiAnswers ii-Flank iiecchymosis iicaused iiby iihemorrhagic
iipancreatitis.
Cullen's iiSign ii(pg. ii113) ii- iiAnswers ii-Periumbilical iiecchymosis iicaused iiby
iihemorrhagic iipancreatitis.
Hypothyroidism/Myxedema iiComa ii(pg. ii112) ii- iiAnswers ii-Patient iipresents iiwith
iifatigue, iicold iiintolerance, iiweight iigain, iipuffy iieyelids, iisparse iihair, iipossibly iigoiter. ii
Primarily iioccurs iiin iiwomen.
>90% iicases iiin iiwinter ii(b/c iithe iipatient iihas iicold iiintolerance iiand iiis iinot iisuffering
iifrom iihypothermia)
Officially iiMyxedema iiComa iiupon iichanges iiin iiLOC. ii
Treatment: iiLevothyroxine ii(Synthroid) ii(T4) iior iiTriostat ii(T3) iiIV
Cushing's iiSyndrome ii(pg.112) ii- iiAnswers ii-Buffalo iihump, iimoon iiface, iithin iiarms iiand
iilegs, iipurple iistriae iion iiabdomen. ii
Causes: iiExcessive iiuse iiof iicorticosteroids ii(Iatrogenic, iifrom iicorticosteroid
iitreatment(s)) iior iiTumor
Treatment: iiUsually iiresolves iiwhen iicorticosteroids iiare iistopped iior iitumor iiis iiremoved.
Adrenal iiInsufficiency/Adrenal iiCrisis ii(pg. ii112) ii- iiAnswers ii-Also iiknown iias ii(AKA):
iiAddison's iiDisease
Patient iipresents iiwith iidepression, iimalaise, iisalt iicraving, iiand iibronze iicolored iiskin
iilike iiJFK.
Treatment: iiOral iisteroids ii(Prednisone)
Negative iiAdrenocorticotropic iihormone ii(ACTH) iitesting, iialso iiknown iias iicorticotropin
iior iicosyntropin iitest. ii
No iiEtomidate iiin iiRSI iidue iito iiadrenal iisuppression.
