Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study Guide
Questions And Answers
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) 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.
, Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study Guide
Questions And Answers
Grey Turner's Sign (pg.113) Flank ecchymosis caused by hemorrhagic pancreatitis.
Cullen's Sign (pg. 113) Periumbilical ecchymosis caused by hemorrhagic pancreatitis.
Hypothyroidism/Myxedema Coma (pg. 112) 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
, Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study Guide
Questions And Answers
Cushing's Syndrome (pg.112) 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) 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.
Flight Paramedic Certification) Study Guide
Questions And Answers
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) 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.
, Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study Guide
Questions And Answers
Grey Turner's Sign (pg.113) Flank ecchymosis caused by hemorrhagic pancreatitis.
Cullen's Sign (pg. 113) Periumbilical ecchymosis caused by hemorrhagic pancreatitis.
Hypothyroidism/Myxedema Coma (pg. 112) 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
, Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study Guide
Questions And Answers
Cushing's Syndrome (pg.112) 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) 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.
