E5: DENTAL EMERGENCY DRUGS Flashcards
What is the other name for Level 1 emergency drugs?
Basic Critical Drugs
What are the 11 Level 1 emergency DRUGS (not categories)?
1.Epinephrine2.Di-Phen-Hydr-amine (benadryl) 3.Chlor-Phen-ira-mine (Chlor-Tri-Me-Ton) 4.Oxygen 5.Nitroglycerine 6. Albuterol 7.Orange Juice 8.Cake Icing in Tube 9.Regular soft drinks 10.Glucose 11.chewable Aspirin
Level 1: What is the concentration of epi in the epi pen?
1:1000
Level 1: What are the 2 indications for endogenous catecholamine?
- Respiratory Distress 2.Anaphylaxis
Level 1: What are the two histamine blockers?
1.Di-phen-hydr-amine (benadryl) 2.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)
Level 1: What are the 3 indications for using a histamine blocker?
1.Allergic Reactions 2.AngioEdema 3.Anaphylaxis
Level 1: What are the 3 Level 1 drugs I would use for anaphylaxis?
1.Epi 2.Di-phen-hydr-amine (benadryl) 3.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)
Level 1: What is the indication for oxygen?
Respiratory distress
Level 1: What are the 3 indications for nitroglycerine?
1.Prophylaxis of angina 2.management of angina 3.treatment of angina
Level 1: Albuterol-Used for relief of _________ in patients with ______
bronchospasm…. COPD
Level 1: Anti-Hypoglygemic drugs are used for hypoglycemia in a _______ patient
conscious
Level 1: What is the indication for chewable aspirin?
pre-hospital admission for MI
What are the 12 Level 2 drugs?
1.Aromatic Ammonia 2.Spirits of Ammonia 3.Di-phen-hydr-amine 4.Diazepam 5.Morphine Sulfate 6.Es-mo-LOL 7.Lab-eta-LOL 8.Glucagon HCl 9.50% Dextrose 10.HydroCortisone Sodium Succinate 11.Meth-Ox-Amine 12.AtroPine
What are the 9 Level 3 drugs?
1.Sodium Bicarbonate 2.Morphine Sulfate 3.Lidocaine 4.Bret-yl-ium Tos-ylate 5.Pro-cain-amide 6.VeraPamil 7.Atropine 8.Calcium Chloride 9.Epinephrine
What are the 3 Level 4 Drugs?
1.Flum-az-enil 2.Nal-Ox-One 3.Nal-Trex-One
Level 2: What is the indication for ammonia?
fainting! (NOT respiratory depression from opioids)
Level 2: What are the 2 indications for histamine blockers?
1.MILD allergic rxn 2.AngioEdema
Level 2: What is the indication for an analgesic like MORPHINE sulfate?
pain/anxiety with an MI
Level 2: What is the indication for diazepam?
Status Epilepticus and severe recurrent convulsive seizures
Level 2: What are the 2 indications for es-mo-lol and lab-et- a-lol?
1.HTN 2.Tachycardia
Level 2: What is the indication for glucagon HCl?
severe hypoglycemic reactions
Level 2: What are the 3 indications for glucocorticoid?
1.adrinocortial insuffiencey 2. shock 3.severe allergic rxn
Level 2: What is the indication for METHoxAmine?
Maintain BP
Level 2: What drug do I use here? used to restore heart rate and arterial pressure when vagal stimulation causes sudden decrease in pulse rate and cardiac action; lessen degree of AV heart block; overcome severe bradycardia and syncope due to hyperactive carotid sinus reflex
Atropine
Level 3: What is the drug of choice for suppression of ventricular tachycardia and ventricular fibrillation?
Lidocaine
Level 3: acute management of ventricular dysrhythmias, especially those related to MI
Lidocaine
Level 3: treatment of life-threatening ventricular dysrhythmias that have not responded to adequate doses of first line agents (e.g. lidocaine)
Bret-y-lol
Level 3: used in suppressing premature ventricular complexes (PVCs) and recurrent ventricular tachycardia that cannot be controlled by lidocaine
Pro-cain-amide
Level 3: management of supraventricular tachycardia that does not require cardioversion
Varapamil
Level 3: treatment of acute hyperkalemia, hypocalcemia or calcium channel blocker toxicity
Calcium Chloride
Level 3: How much Epi do we use for IV or endotracheally treatment of cardiac arrest?
1:10,000 for IV or endotracheally – treatment of cardiac arrest
Level 4: reversal of conscious sedation or general anesthesia which has been induced or maintained with benzodiazepines
FLUM-AZ-EN-IL
Level 4: reversal of opioid depression (respiratory depression)
Naloxone
How much nitroglycerine do i give? (in mg)
0.15-0.6mg
How much chewable aspirin do I give? (in mg)
81 mg
How much Epi do i give? (mL)
0.2-1.0mL of 1:1,000
Whats the max dose of DiPhenHyrdaMine daily? (mg)
400mg
Whats the max ChlorPhrnIraMine daily? (mg)
40mg
Whats the typical dose of atropine (mg) and whats the max dose?
typical: 0.4-1.0mg…max:2mg
How much morphine in a dose? (mg)
2-5mg
Whats the max dose of diazepam? (mg)
20mg
What is the solution dose for esmolol? (mg/mL)
10mg/mL
What is the dose of 50% Dextrose? (mL)
20-50mL (10mL/min, so 2-5 min)
What is the dose for Glucagon? (mg)
1mg
What is the starting dose of Hydrocortisone? (mg)
100 mg
What is the dose for MethoxAmine? (mg)
10-15mg
