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Critical Care Paramedic (Kyle Faudree's Flight Paramedic Certification) Study Guide
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Critical Care Paramedic (Kyle Faudree's Flight Paramedic Certification) Study Guide
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Critical Care Paramedic (Kyle Faudree'sFlight Paramedic Certification) Study
Guide
Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid
Storm" (pg.111) - Correct 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) - Correct 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
,Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study
Guide
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) - Correct 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) - Correct Answer ✅Flank
ecchymosis caused by hemorrhagic pancreatitis.
, Critical Care Paramedic (Kyle Faudree's
Flight Paramedic Certification) Study
Guide
Cullen's Sign (pg. 113) - Correct Answer ✅Periumbilical
ecchymosis caused by hemorrhagic pancreatitis.
Hypothyroidism/Myxedema Coma (pg. 112) - Correct
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
Cushing's Syndrome (pg.112) - Correct Answer ✅Buffalo
hump, moon face, thin arms and legs, purple striae on
abdomen.
Causes: Excessive use of corticosteroids (Iatrogenic, from
corticosteroid treatment(s)) or Tumor
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