Endocrine MD Quiz Flashcards
Dextrose Conditions
Age: ≥ 2 years
LOA: altered
Other: hypoglycemia
Glucagon Conditions
LOA: altered
Other: hypoglycemia
Dextrose Contraindications
Allergy or sensitivity to Dextrose
Glucagon Contraindications
Allergy or sensitivity to glucagon
Phenochromocytoma
Dextrose Treatment 10% dextrose
Dose: 2ml/kg
Max dose: 250ml
Dosing interval: 10 mins
Max # of doses: 2
Dextrose Treatment 50% dextrose
Dose: 1ml/kg
Max dose: 50ml
Dosing interval: 10 mins
Max # of doses: 2
Glucagon Treatment <25kg
Dose: 0.5mg
Max dose: 0.5mg
Dosing interal: 20 mins
Max # of doses: 2
Glucagon Treatment ≥25kg
Dose: 1mg
Max dose: 1mg
Dosing interval: 20 mins
Max # of doses: 2
What do we do next if the patient responds to dextrose or glucagon?
Oral glucose or other simple carbohydrates
What do we do if the patients symptoms are mild?
Oral glucose or other simple carbohydrates
Suspected Adrenal Crisis- Indications
A patient with primary adrenal failure who is experiencing clinical signs of an adrenal crisis
Hydrocortisone Conditions
Paramedics are presented with a vial or hydrocortisone for the identified patient and one of the following:
- Age related HYPOGLYCEMIA
- GI symptoms (abdo pain, vomiting, diarrhea)
- Syncope
- Temp ≥38 or suspected/history of fever
- Altered LOA
- Age-related TACHYCARDIA
- Age-related HYPOTENSION
Hydrocortisone Contraindications
Allergy or sensitivity to hydrocortisone
Hydrocortisone Treatment
Route: IM/IV
Dose: 2mg/kg
Max dose: 100mg
Max # of doses: 1
What is the recommended time that dextrose should be administered over?
3 minutes, discontinue if your patient attains a level of consciousness where they can consume simple carbohydrates
