Patient Safety And Infection Control Flashcards

1
Q

How would you open an unconscious individuals airway?

A

Use “ head tilt chin lift” technique

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2
Q

How many chest compressions and rescue breaths do you carry out during CPR?

A

30 chest compressions and two rescue breaths (repeat)

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3
Q

What is the depth that you should press down during chest compressions?

A

5-6cm

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4
Q

What rate should you give chest compressions?

A

100-120 bpm

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5
Q

When dealing with a choking casualty, how many back blows should be given?

A

5

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6
Q

How many abdominal thrusts should be given when dealing with a choking casualty?

A

5

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7
Q

What side must a pregnant patient be placed onto when being put in the recovery position and why?

A

Left-hand side
This is because right-hand side would put pressure on the baby’s inferior vena cava

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8
Q

In what situation would you decide not to carry out the recovery position?

A

If there is a suspected head or neck injury

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9
Q

What does the ABCDE approach stand for?

A

A- AIRWAY
B- BREATHING
C- CIRCULATION
D- DISABILITY
E- EXPOSURE/ EVERYTHING ELSE

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10
Q

When there is suspected anaphylaxis, what would you check airway for?

A

Stridor or wheezing

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11
Q

When there is suspected anaphylaxis, what would you check breathing for?

A
  • a rapid increase in respiratory rate ( can be as high as 30)
  • decrease in oxygen saturation
  • short of breath
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12
Q

When there is suspected anaphylaxis, what would you check circulation for?

A

-tachycardia
-blood pressure drop ( blood being pumped to peripheries)

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13
Q

What is the scale used to assess the disability stage in the ABCDE approach?

A

ACVPU

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14
Q

What does ACVPU stand for?

A

A- ALERT
C- CONFUSION
V- VERBAL
P- PAIN
U- UNCONSCIOUS

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15
Q

If someone is experiencing anaphylaxis, what stage of ACVPU will they be in?

A

A= alert

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16
Q

When there is suspected anaphylaxis, what would you do during the ‘Exposure’ stage of ABCDE approach?

A

Check for angionosis, uticaria (rash), flushing of skin
Could also take a temperature of the patient at this point to see if there is a risk of SEPSIS

17
Q

A severe and potentially life-threatening reaction to a trigger such as an allergy

A

Anaphylaxis

18
Q

Why is allergy to Elastoplast important for dentist to know about?

A

Elastoplast can be found in some fluoride varnishes

19
Q

What substance would you use to treat anaphylaxis? And what dosage would be given to an adult?

A

Adrenaline, 0.5mg (half and ampule)

20
Q

What are the main symptoms of anaphylaxis?

A

-Stridor and wheezing
-tachycardia
- angiodema
- uticaria
Etc.

21
Q

Where should you administer adrenaline and how much?

A

Intra muscularly in the anterior-lateral thigh. Administer 1:1000 adrenaline 0.5mg

22
Q

What is beneficial about adrenaline for anaphylaxis?

A

It is a vasoconstrictor, therefore forces blood back towards the heart from peripheries

23
Q

What two things would you check for in airway stage of ABCDE approach?

A
  • is the airway patent or obstructed?
  • is the pateint making noises ( e.g. Stridor, wheezing)
24
Q

What is a normal respiratory rate?

A

12-20

25
Q

What respiratory rate is an indicator of severe illness?

A

25

26
Q

In the breathing stage of ABCDE approach what are the three things you are checking for?

A
  • what is the patient’s respiratory rate?
  • what is their oxygen saturation?
  • Is their chest equally expansive on both sides during respiration?
27
Q

What is an example level of oxygen saturation?

A

96% +

28
Q

In the circulation stage of ABCDE approach what are the three things you are checking for?

A
  • check pulse rate and strength
  • check blood pressure
  • check capillary refill time
29
Q

What is a normal pulse rate?

A

60-100bpm

30
Q

What should blood pressure be in a healthy individual?

A

120/70

31
Q

At what stage in the ABCDE approach would you record blood glucose?

A

Disability stage

32
Q

What value indicates hypoglycaemia after recording blood glucose?

A

<4 mmols

33
Q

At what stage would you take a patients temperature in the ABCDE approach?

A

Exposure stage

34
Q

What heart rate would indicate tachycardia?

A

> 110bpm

35
Q

If oxygen mask available for anaphylaxis patient how much oxygen would you give per minute?

A

15 litres/min