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Medical: 5 Endocrinology: 4

prevent DKA but not enough to prevent severe hyperglycemia, osmotic diuresis and extracellular fluid depletion

      • b.

        Increasing blood glucose levels causes a fluid shift from intracellular to extracellular spaces

    • 3.

      Assessment

      • a.

        Known history of

        • (1)

          Diabetes

        • (2)

          Inadequate fluid intake

      • b.

        Signs and symptoms

        • (1)

          Neurologic abnormalities

          • (a)

            Somnolence

          • (b)

            Coma

          • (c)

            Seizures

          • (d)

            Hemiparesis

          • (e)

            Aphasia

          • (f)

            Increasing mental depression

          • (g)

            Dehydration

          • (h)

            Polydipsia

          • (i)

            Polyuria

          • (j)

            Polyphagia

    • 4.

      Management

      • a.

        Airway and ventilatory support

      • b.

        Circulation

      • c.

        Pharmacological interventions

      • d.

        Non-pharmacological interventions

      • e.

        Transport consideration

        • (1)

          Appropriate mode

        • (2)

          Appropriate facility

      • f.

        Psychological support/ communication strategies

  • D.

    Diabetic ketoacidosis

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Prevention strategies

      • e.

        Anatomy and physiology review

    • 2.

      Pathophysiology

      • a.

        Hyperglycemia

      • b.

        Ketonemia

      • c.

        Relative insulin insufficiency

      • d.

        Counterregulatory hormone excess

    • 3.

      Assessment findings

      • a.

        History

        • (1)

          General health

        • (2)

          Previous medical conditions

        • (3)

          Medications

        • (4)

          Previous experience with complaint

        • (5)

          Time of onset

      • b.

        Physical

        • (1)

          Dehydration

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

9

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