Prepardness

Question 1

best places for intramuscularinjections?

Answer 1

1) deltoid

2) vastus lateralis - anterolateral aspect of thigh

Question 2

preferred location for injections in children?

Answer 2

vastus lateralis - anterolateral aspect of thigh

Question 3

intraoral vs extraoral sites for tongue injections?

Answer 3

intraoral= into floor of mouth

extraoral= into base of tongue

Question 4

why must BLS continue after drugs are given?

Answer 4

to be effective you must have effective circulation

Question 5

what is size of purchased emergency injectable drugs?

Answer 5

1 ml found in glass ampule

** epinephrine is major exception

Question 6

define epinephrine

Answer 6

catecholamine

- injections to reverse severe low blood pressure, wheezing, or allergies

Question 7

epinephrine is a potent bronchial smooth muscle?

Answer 7

dilater (B2)

Question 8

epinephrine desirable properties of vasopressor actions?

Answer 8

• increase rate
• increase cardiac output
• increase systolic blood pressure
• increase coronary blood flow

Question 9

epinephrine therapeutic indications?

Answer 9

• acute allergic reactions (anaphylaxis)= 1:1000
• acute asthma (bronchospasm) = 1:1000
• cardiac arrest 1:10,000

Question 10

how many mg are in in 1 ml of 1:1000?

Answer 10

1=1g and 1000=mL… SO 1 mg per mL

Question 11

side effects of epinephrine?

Answer 11

tachydysrhythmias (fast heart rate) and decreases placental flow in prego women

Question 12

histamine blocker drug of choice and dosage?

Answer 12

diphenhydramine (benadryl) is drug of choice
-50mg/ml

• • second option is chlorpheniramine (chlortrimeton)
• 10mg/ml

Question 13

action of histamine blockers?

Answer 13

COMPETITIVE ANTAGONIST

- does not prevent histamine release OR reverse its action

Question 14

histamine blockers therapeutic indications?

Answer 14

definitive management of acute allergic reactionafter resolution by epinephrine, bc epi wears off

Question 15

histamine blockers side affects

Answer 15

1- CNS depression/sedation (why you feel sleepy)
2- decrease BP
3- thickened bronchial secretions

Question 16

do not give oxygen in what situation?

Answer 16

hyperventilation

Question 17

vasodilator drug of choice?

Answer 17

nitroglycerine

Question 18

nitroglycerine herapeutic indications?

Answer 18

• chest pain DIFFERENTIAL diagnosis
• definitive management of angina
• early management of acute MI
• acute hypertensive episodes

Question 19

nitroglycerine side affects?

Answer 19

• pulsatile headache
• facial flushing
• hypotension in upright position
• drug interaction with viagra

Question 20

nitroglycerine properties?

Answer 20

acts in 1-2 minutes

- short shelf life once BOTTLE IS OPEN

Question 21

nitroglycerine dosage in translingual spray?

Answer 21

0.4

Question 22

alternatiev vasodilator drug?

Answer 22

amyl nitrate

Question 23

bronchodilator drug of choice and alternative drug?

Answer 23

1 choice= albuterol (proventil, ventolin)

alternate= metaproterenol (Alupent)

Question 24

albuterol actions

Answer 24

B2 adrenergic agonist

- specific bronchial smooth muscle relaxing properties with little to no stimulatory action on cardiovasculat/GI system

Question 25

metaproterenol actions

Answer 25

has B2 AND B1 therefore it'll affect the heart (tachycardia and ventricular dysrhythmias)

Question 26

bronchodilator indications?

Answer 26

bronchospasm - asthma - allergic reactions

Question 27

antihypoglycemic drug of choice? alternative?

Answer 27

#1 choice= dextrose, orange juice alternate= glucagon, nondiet soft drink, glucola, gluco-stat, decorative icing

Question 28

antiplatelet drug of choice?

Answer 28

aspirin

Question 29

aspirin action?

Answer 29

aspirin stops platelets in a NONREVERSIBLE way for that platelets lifespan * stops proaggregatory thromboxane A2

Question 30

antiplatelet/aspirin therapeutic indications?

Answer 30

suspected MI or unstable angine -reduces mortality by 23% and is a helpful synergist with other thrombolytic therapy

Question 31

antiplatelet/aspirin side effects?

Answer 31

- hemmorrahe - bleeding - aspirin alergy

Question 32

antiplatelet/aspirin dose?

Answer 32

standard= 162-324mg

Question 33

stock what sizes of syringes?

Answer 33

18 or 21

Question 34

bag-valve-mask

Answer 34

allows positive perssure - one way valve - needs to be see through

Question 35

burden of proof is with?

Answer 35

plaintiff | - must prove the dentist is at fault which was cause of injury which must be compensated

Question 36

expert winess

Answer 36

offers opinion if the defendant met or failed to meet the standard of care

Question 37

standard of care

Answer 37

doing/not doing something that an ordinarily prudent dentist would do under the SAME circumstances