NREMTP Review-Mike B.🚑🚒 "Endocrine"
Pediatrics
Neonates-15 mL/kg
Peds-20 ml/kg
Adults-20 mL/kg
Adults Sepsis-30 ml/kg
Epi-0.01 mg/kg
Amiodarone-5 mg/kg
Defibrillation-2 J/kg, 4 J/kg, 4 J/kg
Lidocaine-1 mg/kg
Addisons Disease
Hypoadrenalism
Low production of glucocorticoids (Cortisol & Cortisone)
Low BP-Hypotension
Hypoglycemia
Low energy
Weakness
Severe dehydration
Bronze discoloration of the skin
Cushing's Disease
Hyperadrenalism
Hyperglycemia
Fluid retention
HTN
Heavy
Purple striae-stretch marks
Bruising
Poor healing
Endocrine System
Thyroid Gland (Anterior Neck)
Regulates metabolism
Hormones-T3, T4, Calcitonin
Grave's Disease (Hyperthyroidism)
An autoimmune disease
Everything is elevated except their weight
Tachycardia
HTN
Fever
Heat intolerant
Diarrhea
Exophthalmos-Bulging eyes
Adrenal Glands (Top of the kidneys)
Regulates the sympathetic N.S (Epi & Nor epi)
Produces sex hormones (Testosterone & Estrogen)
Regulates stress response (Glucocorticoids-Cortisol & Cortisone)
Regulates fluid balance & BP (Mineralcorticoids-Aldosterone)
Hormones
Epi/Nor-epi
Testosterone & Estrogen
Cortisol & Cortisone
Aldosterone
Homework
Know Thyroid conditions
Low (Hypothyroidism, Myxedema coma
High (Hyperthyroidism, Grave's Disease, Thyroid storm)
Know adrenal conditions (Addison's Disease, Cushing's Disease)
70-110 mg/dl
>120=Hyperglycemia
250-550-Type 1-DKA
600-1200-Type 2-HHS/HHNK/HHNS
Pancreas
Insulin
Glucagon (Hormone)
Somatostatin
What is the MOA of Glucagon?
Travels to the liver, to allow it to release glycogen into the bloodstream