1. Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 4 Endocrinology

2. Figure 4-1 The major glands of the endocrine system. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

3. Figure 4-2 Regulation by hormone pairs. The net level of stimulation created by the opposing actions of growth hormone releasing hormone (GHRH) and growth hormone inhibitory hormone (GHIH) determines the amount of growth hormone (GH) secreted by the anterior pituitary. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

4. Figure 4-3 The internal anatomy of the pancreas. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

5. Figure 4-4 Kussmaul’s respirations. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

6. Procedure 4-1 Blood Glucose Determiner: (a) Prepare the equipment required for blood glucose measurement. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

7. Procedure 4-1 (continued) Blood Glucose Determiner: (b) Insert the lancet into the adjustable lancing device. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

8. Procedure 4-1 (continued) Blood Glucose Determiner: (c) Remove the test strip and insert into the glucometer test slot. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

9. Procedure 4-1 (continued) Blood Glucose Determiner: (d) Cleanse the puncture site. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

10. Procedure 4-1 (continued) Blood Glucose Determiner: (e) Perform the puncture. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

11. Procedure 4-1 (continued) Blood Glucose Determiner: (f) Obtain a drop of blood. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

12. Procedure 4-1 (continued) Blood Glucose Determiner: (g) Apply the blood to the reagent strip in the glucose meter. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

13. Procedure 4-1 (continued) Blood Glucose Determiner: (h) Read the blood glucose level. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

14. Procedure 4-1 (continued) Blood Glucose Determiner: (i) Record the results on the patient care report. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

15. Figure 4-5 Generalized enlargement of the thyroid gland (goiter). (©Biophoto Associates/Photo Researchers, Inc.) Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

16. Figure 4-6 Doughy, edematous skin typical of myxedema. (©Biophoto Associates/Photo Researchers, Inc.) Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

17. Figure 4-7 Facial features of Cushing’s syndrome. (©Biophoto Associates/Photo Researchers, Inc.) Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.