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BDS3 Human Disease > Medical emergencies > Flashcards

Medical emergencies Flashcards

1
Q

How many hours of medical emergency CPD do you need as a dentists?

A

10 hours every 5 years

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2
Q

Who would you not give oxygen to?

A

100% oxygen don’t give to stroke pts

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3
Q

Pulse oximeter?

A

Measure oxygen saturation

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4
Q

Hypoxia?

A

Less than 94% blood oxygen saturation

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5
Q

ABCDE?

A

Airways

Breathing

Circulation

Disability

Exposure

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6
Q

2 most common reasons pts collapse?

A

Hypoxia

Hypertension?

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7
Q

MDEWS?

A

Modified dental early warning score

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8
Q

MDEWS score 1?

A
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9
Q

MDEWS score 1-4

A
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10
Q

MDEWS score 5, 6 or score of 3 in any single 1?

A
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11
Q

SBARD?

A

Situation, Background, Assessment, Recommendation, Decision

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12
Q

MDEWS over or equal to 7?

A
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13
Q

2 eyes 2 fingers 2minutes?

A

Look and Fingers on pulse and assess

Can see what help is needed

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14
Q

ACVPU

A

Alert

Acutely confused

Only response to verbal

Only respond to pain

Unresponsive

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15
Q

Strider vs wheeze?

A

Strider expiratory = upper respiratory

Wheeze inspirations - lower respiratory = wheeze

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16
Q

Vital signs to check?

A

Respiratory rate, PpO2, pulse, BP, ACPVU, blood-glucose, temp

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17
Q

What do you need to do when using an oxygen mask?

A

Pulse oximeter

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18
Q

What drugs for acute coronary syndrome in the box?

A

Nitrates and aspirin

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19
Q

Blood glucose level to give sugar?

A

Less than 4

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20
Q

What person to you lay on left side your side?

A

Left side pregnant

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21
Q

Tachyapneoa?

A

Increased breathing rate

22
Q

Asthma attack - what to do ?

A

2 puffs salbutamol into spacing device

Breath normally for 1 min

Then on oxygen

N improvement?

2 more puffs… more oxygen

5 cycles (10 puffs)

If still not better ambulance

23
Q

Symptoms of hypervelation?

A
24
Q

Why put feet in air?

A

Increase preload

Blood flow back to heart

25
Q

What has the same signs and symptoms of vaso-vagal?

A

Atrial fibrillation

26
Q

How to differentiate vaso-vagal and AF?

A

AF = irregular pulse

Vaso-vagal = very slow pulse

27
Q

Medications in the box for angina and acute mi?

A
28
Q

Side effects of GTN

A

Sit them down - GTN will drop headache

Flushing feeling as the blood vessels vasodilate

Big headache

Tastes bad

29
Q

Dose of aspirin for angina or acute mi?

A

300mg

Place in water or chew for 5 mins

30
Q

When to not give aspirin?

A

Allergy

Or on warfarin

31
Q

What do you want to know about an angina pt?

A

The pt oral rest and recovery

If longer the pt could be moving from stale to unstable or even MI

32
Q

How to relive angina?

A

2 puffs of GTN or after resting for 5-10 mins

33
Q

Symptoms of anaphylaxis?

A
34
Q

Medications in the box for anaphylaxis?

A
35
Q

How to inject adrenaline for anaphylaxis?

A

Inject 1 ml for 5 seconds

Adrenaline in bag has more than the epi pen

36
Q

Symptoms of hypoglycaemia?

A
37
Q

Medications in box for hypoglycaemia?

A

If blood glucose below 4 = give more
4 jelly babies or 7 dextrose tablets

If unconscious give glucagon injection. Give in arm

38
Q

If pt as CGM what arm do you give glucagon?

A

Opposite arm

39
Q

Symptoms of hyperglycaemia?

A
40
Q

When is it classed hyperglycaemia?

A

Over 12mmol-1

41
Q

Equipment in box for hyperglycaemia?

A
42
Q

Adrenal insufficiency?

A

Addisons crisis

43
Q

What in the pt history would indicate adrenal insufficiency?

A

Long term use of steroids

44
Q

Symptoms of adrenal insufficiency?

A

Cold /clammy

Extreme fatigue.
Weight loss and loss of appetite.
Areas of darkened skin.
Low blood pressure, even fainting.
Salt craving.
Low blood sugar, also called hypoglycemia.
Nausea, diarrhea or vomiting.
Abdominal pain.

45
Q

Symptoms of seizures?

A
46
Q

Medications in box for seizures?

A
47
Q

Acronym for stroke symptoms?

A

FAST

F: puff out cheeks

A: lift up arms/ legs

S: speech repeating, nonsensical …

48
Q

Why not give stroke pt aspirin at scene?

A

Pt can be thrombolysis of haemorrhagic

49
Q

What to do if pt is having a stroke?

A

Make area safe and call ambulance

50
Q

When to give medazola for seizure?

A

Under 18

51
Q

Aftercare for seizure pt?

A

999/112

GP surgery

Home alone or with family/friend

Accurate record keeping

BDS3 Human Disease (31 decks)

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