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Medical: 5 Endocrinology: 4

        • (2)

          Hypotension

        • (3)

          Reflex tachycardia

        • (4)

          Acetone (fruity) odor on breath

        • (5)

          Nausea

        • (6)

          Vomiting

        • (7)

          Abdominal pain

        • (8)

          Hyperventilation

        • (9)

          Kussmall=s respiration

    • 4.

      Management

      • a.

        Airway and ventilatory support

        • (1)

          Oxygen

        • (2)

          Positioning

        • (3)

          Suction

        • (4)

          Assisted ventilation

        • (5)

          Suction

        • (6)

          Advanced airway devices

      • b.

        Circulatory support

        • (1)

          Venous access

        • (2)

          Blood analysis

      • c.

        Non-pharmacological interventions

        • (1)

          General comfort measures

      • d.

        Pharmacological interventions

        • (1)

          Rehydration

        • (2)

          Bicarbonate

        • (3)

          Potassium

        • (4)

          Insulin

      • e.

        Psychological support

      • f.

        Transport considerations

        • (1)

          Appropriate mode

        • (2)

          Appropriate facility

  • E.

    Thyrotoxicosis (thyroid storm)

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Prevention strategies

    • 2.

      Pathophysiology

      • a.

        Acute manifestation of all hyperthyroid symptoms

      • b.

        Excessive circulating level of thyroxine and triiodothyronine

        • (1)

          Regulate metabolism

        • (2)

          Regulate growth and development

    • 3.

      Assessment

      • a.

        History

      • b.

        Signs and symptoms

        • (1)

          Severe tachycardia

        • (2)

          Heart failure

        • (3)

          Cardiac dysrhythmias

        • (4)

          Shock

        • (5)

          Hyperthermia

        • (6)

          Restlessness

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

10

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