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Dental Nursing Sedation 2024 > Medical emergencies > Flashcards

Medical emergencies Flashcards

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1
Q

What is the drug and dose that would be given for anaphylaxis in an adult?

A

Adrenaline 500mcg 1:1000 Intramuscular
Repeated at 5 minute intervals

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2
Q

What would you give a patient in a suspected heart attack?

A

300mg aspirin

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3
Q

When would you administer Glucagon?

A

Hypoglycaemia in unconscious patients

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4
Q

How much glucose should you give a co-operative patient for hypoglycaemia?

A

15-20g fast acting glucose

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5
Q

What does GTN stand for?

A

Glyceryl Trinitrate

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6
Q

When would you use midazolam oromucosal solution?

A

Prolonged convulsive seizures

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7
Q

What is the dosage for midazolam oromucosal solution in children aged 1 - 5 years?

A

5mg buccal

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8
Q

What is the dosage for midazolam oromucosal solution in children aged 5 - 10 years?

A

7.5mg buccal

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9
Q

What is the dosage for midazolam oromucosal solution in children aged 10+ & adults?

A

10mg buccal

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10
Q

What emergency drug would you use for an asthma attack?

A

Salbutamol inhaler

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11
Q

What is the dosage for Glucagon in patients under 8 years or below 25kg?

A

0.5mg IM

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12
Q

What is the dosage for Glucagon in patients over 8 years and above 25kg?

A

1mg IM

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13
Q

What is the dosage for adrenaline in patients under 6 years?

A

150mcg 0.15mls 1:1000 IM

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14
Q

What is the dosage for adrenaline in patients aged 6 - 12 years?

A

300mcg 0.3mls 1:1000 IM

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15
Q

What is the dosage for adrenaline in patients above 12 years?

A

500mcg 0.5mls 1:1000

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16
Q

How much oxygen is delivered through a bag valve mask?

A

15L/Min 90-100% oxygen

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17
Q

What is Status Epilepticus?

A

Prolonged/Repetitive seizures

18
Q

Pain in the left arm, sweating, shortness of breath, tight pain in the centre of the chest are all symptoms of what medical emergency?

A

Angina Attack

19
Q

Crushing chest pain, pain in the left arm, low blood pressure and pale and clammy skin are all symptoms of what medical emergency?

A

Myocardial Infarction

20
Q

What is paradoxical chest?

A

One side of the chest will rise and fall abnormally

21
Q

What is hypoglycaemia?

A

Low blood sugar

22
Q

What is hyperglycaemia?

A

High blood sugar

23
Q

What are the symptoms of hypoglycaemia?

A

Irritability and aggressiveness
Uncooperative and slurred speech
Disorientation
Cold, clammy & sweaty skin

24
Q

What are the symptoms of hyperglycaemia?

A

Blurred vision
Weightloss
Sweet smelling breath
Increased urination

25
Q

What is the range for normal blood sugar levels?

A

4.0 and 5.9 mmol/l

26
Q

What is the management of hypoglycaemia in a conscious cooperative patient?

A

Glucose drink/tablet/gel
Repeat every 10-15 minutes

27
Q

What is the management of hypoglycaemia in an unconscious adult patient?

A

1mg IM Glucagon

28
Q

Where should you place defib pads?

A

As if you were the patient - On the UR collarbone & LL side of chest

29
Q

How long will a D size cylinder provide oxygen for, if given at 10-10L/min?

A

20 - 30 minutes

30
Q

What causes angina?

A

Lack of oxygenated blood
Can be brought on by exercise, stress, hypertension

31
Q

How many times can you repeat GTN spray in a medical emergency?

A

3

32
Q

What causes myocardial infarction?

A

Blood flow is blocked to the heart by:
Coronary heart disease causing plaque to dislodge causing a blood clot

33
Q

How many backslaps should you give?

A

5 between the shoulder blades

34
Q

How many abdominal thrusts should you give?

A

5

35
Q

What is urticaria?

A

Itchy rash

36
Q

At what rate should you administer CPR?

A

100 - 120

37
Q

Without supplementary oxygen, how much O2 will the patient inhale with a Laerdal pocket mask?

A

16% expired air
This increases to 65-70% when supplementary oxygen is used

38
Q

What % of oxygen does the patient receive with a Hudson mask?

A

40% as they are known to have poor seals

39
Q

What % of oxygen will the patient receive with a non-rebreather mask?

A

60-90%

40
Q

What % of oxygen will the patient receive with a bag valve mask?

A

90 - 100% and oxygen should be set at 15L/Min

41
Q

What is the recommended flow rate for nasal cannulas?

A

4 - 5L/min

42
Q
A

Dental Nursing Sedation 2024 (7 decks)

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