2024 BEST EMS Protocols - Adrenal Crisis

Adrenal Crisis is defined as:

• A sudden, severe worsening of adrenal insufficiency symptoms

• A mild, manageable condition related to adrenal glands

• An unrelated condition affecting the kidneys

• A chronic condition with no immediate symptoms

Who is at risk for Adrenal Crisis?

• People with Addison's disease

• People with diabetes

• People with hypertension

• People with asthma

What are the signs and symptoms of Adrenal Crisis?

• Fatigue, muscle weakness, and dizziness

• Increased appetite and weight gain

• Improved concentration and energy

• Enhanced immune response

The preferred treatment for Adrenal Crisis is:

• Hydrocortisone

• Insulin

• Epinephrine

• Glucagon

Fill in the blank: If SBP < 90 mmHg, administer _______ ml NS/LR fluid bolus.

• 500

• 250

• 1000

• 750

If a patient's Solu-Cortef is not available or past expiration date, what should be done?

• Administer an alternative corticosteroid

• Wait until Solu-Cortef is available

• Do nothing

• Consult a pharmacist

Which of the following medications can be used if Solu-Cortef is not available?

• Solu-Medrol

• Decadron

• Both A and B

What is the dosage for Epinephrine Push Dose Pressor to maintain SBP ≥ 90 mmHg?

• 1 ml (10 mcg) every 1-3 minutes IV/IO

• 2 ml (20 mcg) every 1-3 minutes IV/IO

• 1 ml (5 mcg) every 1-3 minutes IV/IO

Fill in the blank: Levophed Push Dose Pressor is administered at a dosage of ___ mcg/ml every 1-3 minutes IV/IO to maintain SBP ≥ 90 mmHg.

• 16 mcg/ml.

• 8 mcg/ml.

• 32 mcg/ml.

• 24 mcg/ml.

If IV pump capable, what is the dosage range for Epinephrine infusion to maintain SBP ≥ 90 mmHg?

• 2-10 mcg/min IV/IO

• 4-30 mcg/min IV/IO

• 1-5 mcg/min IV/IO