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Medical: 5 Renal/Urology: 7

        • (2)

          Urinalysis

    • 3.

      Management

      • a.

        Airway and ventilatory support

        • (1)

          High flow oxygen

      • b.

        Circulatory support

        • (1)

          Positioning

        • (2)

          Consider fluid bolus or resuscitation

        • (3)

          Consider fluid lavage

      • c.

        Pharmacological

        • (1)

          Vasopressor

      • d.

        Non-pharmacological

        • (1)

          Renal dialysis

          • (a)

            Definition

            • i)

              Process of diffusing blood across a semi-permeable membrane to remove substances that normally the kidney would eliminate

            • ii)

              May restore electrolyte and acid base imbalances

          • (b)

            Complications

            • i)

              Vascular-access related - most common

              • a)

                Bleeding from dialysis puncture site

              • b)

                Thrill in access has been lost

              • c)

                Infection

            • ii)

              Non-vascular access related

              • a)

                Hypotension

              • b)

                Shortness of breath

              • c)

                Chest pain

              • d)

                Neurologic abnormalities

      • e.

        Psychological support

      • f.

        Transport considerations

        • (1)

          Appropriate mode

        • (2)

          Appropriate facility

  • C.

    Renal calculi

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

        • (1)

          Absent sensory/ motor impulses

        • (2)

          Medications

          • (a)

            Anesthetics

          • (b)

            Opiates

          • (c)

            Psychotropic

        • (3)

          Postoperative

      • d.

        Prevention strategies

      • e.

        Anatomy and physiology review

      • f.

        Pathophysiology

        • (1)

          Urinary stones

          • (a)

            Calcium salts

          • (b)

            Uric acid

          • (c)

            Cystine

          • (d)

            Struvite

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

7

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