Communication and medical emergency Flashcards
what does SBAR stand for?
Situation
Background
Assessment
Recommendations
adrenal insufficiency management… 3 things
- lay flat
- give oxygen
- transfer to hospital
who is at risk of adrenal insufficiency?
patients who have been on long term corticosteroid therapy
what do you say in situation? 4 things
- who you are
- where you’re calling from
- identify patient
- reason for calling other healthcare professional
what do you say in background? 3 things
- the patients reasons for attending dental appointment
- significant PMH, drug, social, family
- history of progression of concern during your care
what do you say in assessment?
- what you think is happening
- how urgently you think they need to be seen
- vital signs
what do you say in recommendations?
- explain what you need from other healthcare professional
- make suggestions
- clarify expectations
which patients would you give adrenaline to?
those in anaphylactic shock
for an adult, what is the mL of adrenaline?
0.5mL (500mg)
for a child
0.15mL (150mg)
for a child between 6-12 what mL of adrenaline would you give?
0.3mL (300mg)
define anaphylaxis
a severe allergic reactions following exposure to an allergen ( commonly a drug in the dental environment )
what are 8 signs and symptoms of anaphylaxis?
- parasthesia (pins and needles)
- flushing and swelling of the face
- itching (esp feet and hands)
- bronchospasm and laryngospasm
- rapid, weak pulse
- fall in blood pressure
- pallor
- cardiac arrest
what are the 4 steps of management in a patient who is in anaphylaxis?
- lay flat and raise feet (put in recovery position if unconscious)
- administer adrenaline
- administer oxygen
- transport to hospital
how is adrenaline administered?
intramuscularly
how often can you repeat the dose of adrenaline?
every 5 mins if not working
how many puffs of a short acting beta2 agonist does it take for most asthma sufferers to respond with?
2
what are the 3 types of asthma attack?
- moderate acute asthma
- severe acute asthma
- life threatening asthma
what is the easiest way to distinguish between the 3?
moderate = able to talk
severe = unable to complete sentences in one breath
life threatening = silent chest
how many breaths per minute is worrying?
around 25/min
how long would you monitor a patient who had moderate acute asthma attack?
15-30 mins
true or false : you must always send someone who has had an angina attack to hospital?
false. they may have their own GTN sray or isosorbide denigrate tablets and make a full recovery
what is the difference between angina attack and myocardial infarction symptoms?
they are much the same except MI symptoms more severe
what are the 6 signs and symptoms of a myocardial infarction
- progressive onset of central crushing chest pain
- may radiate down one arm, shoulder, neck or jaw
- skin is pale and clammy
- nausea and vomiting
- breathlessness
- weak pulse and drop in blood pressure
steps in managing someone who’s having an MI
- call ambulance
- allow patient to get into a comfortable position
- oxygen
- sublingual GTN for pain relief
- reasssure
- asprin 300mg (single dose)
what advice should you give to an epileptic patient before attending a dental treatment?
to continue on the same dose of anti-convulsant
