Medical emergencies

Question 1

What is the number one emergency at the dental office?

Answer 1

-Syncope (Fainting)

Question 2

What is the PRAY pneumonic?

Answer 2

• P prepare in a timely efficient manner
• R recognition of predisposing signs/symptoms
• A Action plan to stabilize patient
• Y Yell to know where to obtain help/EMS

Question 3

What emergency medications do you need in your office?

Answer 3

-Epinephrine
-Dephenhydramine
-Diazepam
-Naloxone
-Hydrocortisone
-Meperidine
-50 % dextrose
-Nitroglycerin
-Cake frosting
0Ammonia Vaporales
-Bayer Aspirin
-Alpuent inhaler
-Nitrous oxide
-Benadryl
-Morphine

Question 4

What is the second most common emergency in the dental office?

Answer 4

-mild allergic reaction

Question 5

What are the differential diagnosis for someone who loss consciousness in your chair?

Answer 5

• Syncope
• Orthostatic hypotension
• Adrenal insufficiency
• Allergic reaction
• Airway obstruction
• Seizures
• MI
• Hypoglycemia
• Stroke
• Drug overdose

Question 6

What is the differential diagnosis for respiratory distress?

Answer 6

• Airway Obsturction
• Hyperventilation
• Allergic reaction
• COPD
• CHF

Question 7

What are two airway obstruction that can cause respiratory distress?

Answer 7

• Laryngospasm (protective reflex)

- Foriegn Body

Question 8

What are two things associated with COPD and respiratory distress?

Answer 8

• Asthma

- Bronchospasm (not a protective reflex)

Question 9

What is the differential diagnosis for Cardiovascular disease?

Answer 9

• Chest pain (Angina pectoris or MI)
• Blood pressure
• Cardiac Dysrhythmias