CRITICAL CARE PARAMEDIC (KYLE
FAUDREE'S FLIGHT PARAMEDIC
CERTIFICATION) STUDY GUIDE
CORRECT 100%
Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid Storm" (pg.111) - ANSWER
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) - ANSWER 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 Disease also due to the adrenal suppression
Pancreatitis (pg.113) - ANSWER Pain that is usually centered in the upper middle or
upper left abdomen. Often radiates from the front of 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) - ANSWER Flank ecchymosis caused by hemorrhagic
pancreatitis.
Cullen's Sign (pg. 113) - ANSWER Periumbilical ecchymosis caused by hemorrhagic
pancreatitis.
Hypothyroidism/Myxedema Coma (pg. 112) - ANSWER 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
Burn Formulas (pg. 126) - ANSWER Brooke - 2cc x kg x BSA = fluids over 24hrs (1st
half in 1st 8 hrs from time of burn)
Universal "Consensus Formula" - 2-4cc x kg x BSA = fluids over 24hrs (1st half in 1st
8hrs from time of burn)
Parkland - 4cc x kg x BSA = fluids over 24hrs (1st half in 1st 8hr from time of burn)
Only for 2nd and 3rd degree burn types.
What is the preferred burn formula? (pg. 126) - ANSWER Parkland Formula is the
preferred burn formula.
Lactated Ringers is the preferred fluid administered.
BSA Burn % Child (pg. 126) - ANSWER Head and Neck - 18%
Each Arm - 9% (Both Arms 18%)
Each Leg - 14% (Both Arms 28%)
Anterior Trunk - 18%
Posterior Trunk - 18%
Palmer Method: The palm represents 1% BSA in both Adults and Children.
BSA Burn % Adult (pg. 126) - ANSWER Head - 9% (Face 4.5%)
FAUDREE'S FLIGHT PARAMEDIC
CERTIFICATION) STUDY GUIDE
CORRECT 100%
Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid Storm" (pg.111) - ANSWER
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) - ANSWER 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 Disease also due to the adrenal suppression
Pancreatitis (pg.113) - ANSWER Pain that is usually centered in the upper middle or
upper left abdomen. Often radiates from the front of 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) - ANSWER Flank ecchymosis caused by hemorrhagic
pancreatitis.
Cullen's Sign (pg. 113) - ANSWER Periumbilical ecchymosis caused by hemorrhagic
pancreatitis.
Hypothyroidism/Myxedema Coma (pg. 112) - ANSWER 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
Burn Formulas (pg. 126) - ANSWER Brooke - 2cc x kg x BSA = fluids over 24hrs (1st
half in 1st 8 hrs from time of burn)
Universal "Consensus Formula" - 2-4cc x kg x BSA = fluids over 24hrs (1st half in 1st
8hrs from time of burn)
Parkland - 4cc x kg x BSA = fluids over 24hrs (1st half in 1st 8hr from time of burn)
Only for 2nd and 3rd degree burn types.
What is the preferred burn formula? (pg. 126) - ANSWER Parkland Formula is the
preferred burn formula.
Lactated Ringers is the preferred fluid administered.
BSA Burn % Child (pg. 126) - ANSWER Head and Neck - 18%
Each Arm - 9% (Both Arms 18%)
Each Leg - 14% (Both Arms 28%)
Anterior Trunk - 18%
Posterior Trunk - 18%
Palmer Method: The palm represents 1% BSA in both Adults and Children.
BSA Burn % Adult (pg. 126) - ANSWER Head - 9% (Face 4.5%)
