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Medical: 5 Endocrinology: 4

      • d.

        Prevention strategies

    • 2.

      Pathophysiology

      • a.

        Blood glucose levels fall below that required for normal body functioning

      • b.

        Combined effects of a decreased energy supply to the central nervous system and a hyperadrenergic state results from a compensatory increase in catecholamine secretion

        • (1)

          Tremors

        • (2)

          Diaphoresis

        • (3)

          Palpitations

        • (4)

          Tachycardia

        • (5)

          Pale, cool skin

        • (6)

          Low levels of blood glucose reaching the brain results in an altered mental status

        • (7)

          Irritability

        • (8)

          Confusion

        • (9)

          Stupor

        • (10)

          Coma

    • 3.

      Assessment

      • a.

        Known history of

        • (1)

          Diabetes

        • (2)

          Prolonged fasting

        • (3)

          Alcoholism

      • b.

        Signs and symptoms

        • (1)

          Weakness

        • (2)

          Irritability

        • (3)

          Hunger

        • (4)

          Confusion

        • (5)

          Anxiety

        • (6)

          Bizarre behavior

        • (7)

          Tachycardia

        • (8)

          Normal respiratory pattern

        • (9)

          Cool, pale skin

        • (10)

          Diaphoresis

    • 4.

      Management

      • a.

        Airway and ventilation

      • b.

        Circulation

      • c.

        Pharmacological interventions

      • d.

        Non-pharmacological interventions

      • e.

        Transport consideration

        • (1)

          Appropriate mode

        • (2)

          Appropriate facility

        • (3)

          Psychological support/ communication strategies

  • C.

    Hyperglycemia (hyperglycemic hyperosmolar nonketosis)

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Prevention strategies

    • 2.

      Pathophysiology

      • a.

        Occurs in patients with diabetes who are able to produce enough insulin to

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

8

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