E5: DENTAL EMERGENCY DRUGS Flashcards

1
Q

What is the other name for Level 1 emergency drugs?

A

Basic Critical Drugs

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2
Q

What are the 11 Level 1 emergency DRUGS (not categories)?

A

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

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3
Q

Level 1: What is the concentration of epi in the epi pen?

A

1:1000

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4
Q

Level 1: What are the 2 indications for endogenous catecholamine?

A
  1. Respiratory Distress 2.Anaphylaxis
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5
Q

Level 1: What are the two histamine blockers?

A

1.Di-phen-hydr-amine (benadryl) 2.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)

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6
Q

Level 1: What are the 3 indications for using a histamine blocker?

A

1.Allergic Reactions 2.AngioEdema 3.Anaphylaxis

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7
Q

Level 1: What are the 3 Level 1 drugs I would use for anaphylaxis?

A

1.Epi 2.Di-phen-hydr-amine (benadryl) 3.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)

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8
Q

Level 1: What is the indication for oxygen?

A

Respiratory distress

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9
Q

Level 1: What are the 3 indications for nitroglycerine?

A

1.Prophylaxis of angina 2.management of angina 3.treatment of angina

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10
Q

Level 1: Albuterol-Used for relief of _________ in patients with ______

A

bronchospasm…. COPD

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11
Q

Level 1: Anti-Hypoglygemic drugs are used for hypoglycemia in a _______ patient

A

conscious

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12
Q

Level 1: What is the indication for chewable aspirin?

A

pre-hospital admission for MI

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13
Q

What are the 12 Level 2 drugs?

A

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

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14
Q

What are the 9 Level 3 drugs?

A

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

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15
Q

What are the 3 Level 4 Drugs?

A

1.Flum-az-enil 2.Nal-Ox-One 3.Nal-Trex-One

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16
Q

Level 2: What is the indication for ammonia?

A

fainting! (NOT respiratory depression from opioids)

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17
Q

Level 2: What are the 2 indications for histamine blockers?

A

1.MILD allergic rxn 2.AngioEdema

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18
Q

Level 2: What is the indication for an analgesic like MORPHINE sulfate?

A

pain/anxiety with an MI

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19
Q

Level 2: What is the indication for diazepam?

A

Status Epilepticus and severe recurrent convulsive seizures

20
Q

Level 2: What are the 2 indications for es-mo-lol and lab-et- a-lol?

A

1.HTN 2.Tachycardia

21
Q

Level 2: What is the indication for glucagon HCl?

A

severe hypoglycemic reactions

22
Q

Level 2: What are the 3 indications for glucocorticoid?

A

1.adrinocortial insuffiencey 2. shock 3.severe allergic rxn

23
Q

Level 2: What is the indication for METHoxAmine?

A

Maintain BP

24
Q

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

A

Atropine

25
Q

Level 3: What is the drug of choice for suppression of ventricular tachycardia and ventricular fibrillation?

A

Lidocaine

26
Q

Level 3: acute management of ventricular dysrhythmias, especially those related to MI

A

Lidocaine

27
Q

Level 3: treatment of life-threatening ventricular dysrhythmias that have not responded to adequate doses of first line agents (e.g. lidocaine)

A

Bret-y-lol

28
Q

Level 3: used in suppressing premature ventricular complexes (PVCs) and recurrent ventricular tachycardia that cannot be controlled by lidocaine

A

Pro-cain-amide

29
Q

Level 3: management of supraventricular tachycardia that does not require cardioversion

A

Varapamil

30
Q

Level 3: treatment of acute hyperkalemia, hypocalcemia or calcium channel blocker toxicity

A

Calcium Chloride

31
Q

Level 3: How much Epi do we use for IV or endotracheally treatment of cardiac arrest?

A

1:10,000 for IV or endotracheally – treatment of cardiac arrest

32
Q

Level 4: reversal of conscious sedation or general anesthesia which has been induced or maintained with benzodiazepines

A

FLUM-AZ-EN-IL

33
Q

Level 4: reversal of opioid depression (respiratory depression)

A

Naloxone

34
Q

How much nitroglycerine do i give? (in mg)

A

0.15-0.6mg

35
Q

How much chewable aspirin do I give? (in mg)

A

81 mg

36
Q

How much Epi do i give? (mL)

A

0.2-1.0mL of 1:1,000

37
Q

Whats the max dose of DiPhenHyrdaMine daily? (mg)

A

400mg

38
Q

Whats the max ChlorPhrnIraMine daily? (mg)

A

40mg

39
Q

Whats the typical dose of atropine (mg) and whats the max dose?

A

typical: 0.4-1.0mg…max:2mg

40
Q

How much morphine in a dose? (mg)

A

2-5mg

41
Q

Whats the max dose of diazepam? (mg)

A

20mg

42
Q

What is the solution dose for esmolol? (mg/mL)

A

10mg/mL

43
Q

What is the dose of 50% Dextrose? (mL)

A

20-50mL (10mL/min, so 2-5 min)

44
Q

What is the dose for Glucagon? (mg)

A

1mg

45
Q

What is the starting dose of Hydrocortisone? (mg)

A

100 mg

46
Q

What is the dose for MethoxAmine? (mg)

A

10-15mg