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BDS3 Patient Safety > Medical Emergencies > Flashcards

Medical Emergencies Flashcards

1
Q

What are the eight drugs used for medical emergencies in dentistry

A

Adrenaline
Aspirin
Glucagon
GTN
Midazolam
Oral glucose
Oxygen cylinder
Salbutamol inhaler

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2
Q

What are signs of anaphylaxis

A

Upper airway oedema and bronchospasm
Tachycardia

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3
Q

What are symptoms of anaphylaxis

A

Mild allergy
Vomiting, abdominal pain
Flushing

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4
Q

What is the treatment for anaphylaxis

A

100% oxygen at 15L/min
0.5ml 1:1000 intramuscular adrenaline

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5
Q

When can you give adrenaline again if the first dose is not producing the desired effects

A

5 mins

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6
Q

What are signs of life threatening asthma

A

Cyanosis or low respiratory rate
Bradycardia
Exhaustion and confusion

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7
Q

What are signs of acute asthma

A

Inability to complete sentences
High respiratory rate
Tachycardia

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8
Q

What is the treatment for an asthma event in the dental practice

A

Administer 100% oxygen 15L/ min
Administer 4 puffs of salbutamol inhaler

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9
Q

How many micrograms are in an actuation of a salbutamol inhaler

A

100

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10
Q

What are signs of angina/ MI

A

Progressive onset of Severe crushing pain to the chest may radiate to left arm or to the jaw

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11
Q

What are symptoms of angina/ MI

A

SOB
Increased respiration
Skin becomes pale
Nausea and vomiting

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12
Q

What is the management for angina/ MI

A

100% oxygen 15L/ min
GTN spray sublingually
300 mg of aspirin chewed

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13
Q

What is the concentration of GTN per metres dose

A

400 micrograms

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14
Q

Why should children not be given aspirin

A

Can cause Reye’s syndrome

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15
Q

What is the treatment for epilepsy

A

100% oxygen 15L/ min
10 mg midazolam

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16
Q

What are the formulations of midazolam you can use

A

2ml oromucosal solution
5mg/ml topically into buccal cavity

17
Q

What is the treatment for a patient who has fainted

A

100% oxygen 15L/ min

18
Q

What are the signs of hypoglycaemia

A

Aggression and confusion
Sweating
Tachycardia

19
Q

What are symptoms of hypoglycaemia

A

Shaking
Headache
Slurred speech
Fitting

20
Q

What is the treatment for hypoglycaemic attack if patient is conscious and cooperative

A

100% oxygen 15L/ min
Oral glucose (10-20g)

21
Q

What is the treatment for hypoglycaemic attack if patient is unconscious and uncooperative

A

100% oxygen 15L/min
1mg intramuscular glucagon injection
Oral glucose when patient regains consciousness

BDS3 Patient Safety (7 decks)

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