Adrenal Crisis MD Flashcards
1
Q
What are the indications?
A
A patient with primary adrenal failure who is experiencing signs of adrenal crisis
2
Q
Conditions of this directive?
A
Paramedics are presented with a vial of hydrocortisone for the identified patient!!!!
AND: one or more of the following
- age related hypoglycemia
- GI symptoms (vommiting, diarrhea, abdo pain)
- syncope
- temp >= 38 degrees or suspected fever
- altered LOA
- age related tachycardia
- age related hypotension
3
Q
What are the contraindications?
A
ax or sensitivity
4
Q
What is the treatment?
A
Hydrocortisone - IM or IV
dose- 2mg/kg
max- 100mg
ONE DOSE!!!!!
5
Q
What is one clinical consideration??
A
IV admin is only for PCP AIV
6
Q
What are some examples of underlying issues/stressors that may require someone with adrenal failure to call EMS?
A
- hypoglycemia
- hypotension
- GI issues
- fractures
7
Q
Should these pts be transported?
A
YES! they need additional care and follow up!
8
Q
When do people with adrenal insufficiency need help?
A
In cases of STRESS when they can become critically ILL.
