Worksheets2024 BEST EMS Protocols - Adrenal Crisis
Total questions: 14
Worksheet time: 7mins
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
What should be done if a patient's AICD is discharging and the main dilemma is to determine whether it should be delivering shocks?
Monitor the patient and consult a cardiologist
Immediately deactivate the AICD
Replace the AICD battery
Ignore the discharges
What action should be taken if an unconscious patient receives shocks from the AICD and ventricular fibrillation or pulseless ventricular tachycardia occurs?
Start CPR and prepare for defibrillation
Administer epinephrine immediately
Wait for the AICD to resolve the issue
Check for other underlying conditions
The protocol if a conscious patient is receiving appropriate shocks from the AICD is to:
Continue monitoring the patient and provide reassurance.
Immediately deactivate the AICD.
Administer anti-arrhythmic medication.
Prepare for emergency defibrillation.
What should be done if the AICD appears to be shocking inappropriately?
Check the device settings and consult a physician
Ignore the shocks as they are normal
Replace the AICD immediately
Wait for the next scheduled check-up
