term1 Definition1term2 Definition2term3 Definition3
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S/S Hyperglycemia/DKA/Diabetic Coma
Gradual onset (hours to days)
Intense thirst
Vomiting
Deep, rapid (Kussmaul) respirations
Sweet, fruity breath
Rapid, weak, and thready pulse
Restlessness, might progress to coma
Abnormal/slurred speech
Unsteady gait
S/S Hypoglycemia/Insulin Shock
Rapid onset (minutes)
Pale, cool, moist skin
Intense hunger
Rapid, shallow breathing
Irritability
Confusion
Seizure
Coma
Rapid, weak pulse
GCS Verbal Response
5 - Oriented conversation
4 - Confused conversation
3 - Inappropriate words
2 - Incomprehensible sounds
1 - None
Stages of assessment
1. Scene size-up
2. Primary assessment
3. History taking
4. Secondary assessment
5. Reassessment
S/S Decompensated Shock
-Falling BP (<90 systolic in adults)
-Labored or irregular breathing
-Ashen, mottled, or cyanotic skin
-Thready or absent peripheral pulses
-Dull eyes, dilated pupils
-Poor urinary output
S/S Pulmonary Embolus
-Sharp, pinpoint pain
-Dyspnea
-Sudden onset
-After childbirth or surgery
-Hemoptysis (coughing up blood)
-Tachypnea
-Hypoxia
S/S Cholecystitis (Gallbladder Inflammation)
RU quadrant pain (direct)
R shoulder pain (referred)
Nausea
GI distress
Protonix/pantoprazole use
Gastric reflux
Child range for respirations
15-30 breaths/minute
Administration concerns for Epinephrine
-Medication will last approximately 5 minutes
-Do not repeat dose
-Ensure ALS in route for continuing treatment
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