Critical Care Paramedic (Kyle Faudree's Flight Paramedic Certification) Study Guide with Complete Solution

Critical Care Paramedic (Kyle Faudree's Flight
Paramedic Certification) Study Guide with
Complete Solution

Hyperthyroidism/Grave'siDisease/Thyrotoxicosis/"ThyroidiStorm"i(pg.
111)i-iCorrectiAnswer-
Patientipresentsiwithiweightiloss,ipalpitations,inervousness,iheatiintole
rance


Exophthalmosi(AKAiproptosis)i'bulgingiofitheieye'


AVOIDiAspirini(ASA)i-
iPreventsibindingiofithyroglobulin,imakingitheisituationiworse




Treatment:iIViFluidsi1st,iBetaiBlockersi(Propanolol),iSteroidsi(Dexamet
hasone),iandiTylenoliforifever.


SepticiShocki(pg.113)i-iCorrectiAnswer-
Someoneiwhoiisiinishockisecondidegreeitoisepsisi(infectioniinitheibloods
tream)


HypotensiveiwithinormaliHR


Hypotensiveiwhileibeingirefractoryitoifluids

,PatientineedsiIVifluiditherapyiandivasopressors


Levophedi(Norepinephrine)iisivasopressoriofichoiceiiniprofoundihypote
nsion


DoinotiuseiEtomidateiiniRSIi(dueitoiitsiadrenalisuppression)i*Alsoidoinoti
useiEtomidateiiniAddison'siDiseaseialsoidueitoitheiadrenalisuppression


Pancreatitisi(pg.113)i-iCorrectiAnswer-
Painithatiisiusuallyicenterediinitheiupperimiddleioriupperileftiabdomen.i
Ofteniradiatesifromitheifrontiofitheiabdomenithroughitoitheiback,ibegin
sioriworsensiafterieating,ilastsiaifewidays,iandimayifeeliworseiwheniaipe
rsoniliesiflationitheiriback.i


Theidigestiveienzymesiinitheipancreasiareidestroyingitheipancreas.i


Increasedilipaseilevelsi(usuallyi>3xinormal)
*AmylaseimayialsoibeiincreasedibutiFaudreeididinotiprefaceithisiinihisist
udyiguideinotes.


Demeroliforipaini(b/ciMorphineihasitheiabilityitoicauseispasmsiofitheiSp
hincteriofiOddi)

, Typicallyirequiresisurgicaliintervention.


GreyiTurner'siSigni(pg.113)i-iCorrectiAnswer-
Flankiecchymosisicausedibyihemorrhagicipancreatitis.


Cullen'siSigni(pg.i113)i-iCorrectiAnswer-
Periumbilicaliecchymosisicausedibyihemorrhagicipancreatitis.


Hypothyroidism/MyxedemaiComai(pg.i112)i-iCorrectiAnswer-
Patientipresentsiwithifatigue,icoldiintolerance,iweightigain,ipuffyieyelid
s,isparseihair,ipossiblyigoiter.i


Primarilyioccursiiniwomen.


>90%icasesiiniwinteri(b/citheipatientihasicoldiintoleranceiandiisinotisuff
eringifromihypothermia)


OfficiallyiMyxedemaiComaiuponichangesiiniLOC.i


Treatment:iLevothyroxinei(Synthroid)i(T4)ioriTriostati(T3)iIV


Cushing'siSyndromei(pg.112)i-iCorrectiAnswer-
Buffaloihump,imooniface,ithiniarmsiandilegs,ipurpleistriaeioniabdomen.i