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Medical: 5 Renal/Urology: 7

      • h.

        Auscultate abdomen

      • i.

        Percuss abdomen

      • j.

        Palpate abdomen

      • k.

        Female abdominal exam

      • l.

        Male abdominal exam

    • 5.

      Assessment tools

      • a.

        Hematocrit

  • C.

    Management/ treatment plan

    • 1.

      Airway and ventilatory support

      • a.

        Maintain an open airway

      • b.

        High flow oxygen

    • 2.

      Circulatory support

      • a.

        Electrocardiogram

      • b.

        Monitor blood pressure

    • 3.

      Pharmacological interventions

      • a.

        Consider initiating intravenous line

      • b.

        Avoid intervention which mask signs and symptoms

    • 4.

      Non-pharmacological interventions

      • a.

        Nothing by mouth

      • b.

        Monitor LOC

      • c.

        Monitor vital signs

      • d.

        Position of comfort

    • 5.

      Transport consideration

      • a.

        Persistent pain for greater than six hours requires transport

      • b.

        Gentle but rapid transport

    • 6.

      Psychological support

      • a.

        All actions reflect a calm, caring, competent attitude

      • b.

        Keep patient and significant others informed of your actions

  • III.

    Specific injuries/ illness

    • A.

      Acute renal failure

      • 1.

        Epidemiology

        • a.

          Incidence

        • b.

          Mortality/ morbidity

          • (1)

            Overall mortality 50%

        • c.

          Risk factors

          • (1)

            Prerenal

          • (2)

            Postrenal

          • (3)

            Renal

        • d.

          Prevention strategies

          • (1)

            Protection of cardiovascular function and volume

          • (2)

            Reduce exposure to nephrotoxic drugs

        • e.

          Anatomy and physiology review

        • f.

          Pathophysiology

          • (1)

            Function of the nephron and glomerular filtration rate

          • (2)

            Retention of nitrogenous waste products and electrolytes

          • (3)

            Aberrations in glucose reabsorption

          • (4)

            Disorders of renal hypoperfusion

            • (a)

              Hypovolemia

            • (b)

              Low cardiac output

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

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