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Med Emergencies > Prepardness > Flashcards

Prepardness Flashcards

1
Q

best places for intramuscularinjections?

A

1) deltoid

2) vastus lateralis - anterolateral aspect of thigh

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2
Q

preferred location for injections in children?

A

vastus lateralis - anterolateral aspect of thigh

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3
Q

intraoral vs extraoral sites for tongue injections?

A

intraoral= into floor of mouth

extraoral= into base of tongue

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4
Q

why must BLS continue after drugs are given?

A

to be effective you must have effective circulation

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5
Q

what is size of purchased emergency injectable drugs?

A

1 ml found in glass ampule

** epinephrine is major exception

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6
Q

define epinephrine

A

catecholamine

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

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7
Q

epinephrine is a potent bronchial smooth muscle?

A

dilater (B2)

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8
Q

epinephrine desirable properties of vasopressor actions?

A
  • increase rate
  • increase cardiac output
  • increase systolic blood pressure
  • increase coronary blood flow
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9
Q

epinephrine therapeutic indications?

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

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

A

1=1g and 1000=mL… SO 1 mg per mL

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11
Q

side effects of epinephrine?

A

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

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12
Q

histamine blocker drug of choice and dosage?

A

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

    • second option is chlorpheniramine (chlortrimeton)
  • 10mg/ml
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13
Q

action of histamine blockers?

A

COMPETITIVE ANTAGONIST

- does not prevent histamine release OR reverse its action

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14
Q

histamine blockers therapeutic indications?

A

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

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15
Q

histamine blockers side affects

A

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

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16
Q

do not give oxygen in what situation?

A

hyperventilation

17
Q

vasodilator drug of choice?

A

nitroglycerine

18
Q

nitroglycerine herapeutic indications?

A
  • chest pain DIFFERENTIAL diagnosis
  • definitive management of angina
  • early management of acute MI
  • acute hypertensive episodes
19
Q

nitroglycerine side affects?

A
  • pulsatile headache
  • facial flushing
  • hypotension in upright position
  • drug interaction with viagra
20
Q

nitroglycerine properties?

A

acts in 1-2 minutes

- short shelf life once BOTTLE IS OPEN

21
Q

nitroglycerine dosage in translingual spray?

A

0.4

22
Q

alternatiev vasodilator drug?

A

amyl nitrate

23
Q

bronchodilator drug of choice and alternative drug?

A

1 choice= albuterol (proventil, ventolin)

alternate= metaproterenol (Alupent)

24
Q

albuterol actions

A

B2 adrenergic agonist

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

25
Q

metaproterenol actions

A

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

26
Q

bronchodilator indications?

A

bronchospasm

  • asthma
  • allergic reactions
27
Q

antihypoglycemic drug of choice? alternative?

A

1 choice= dextrose, orange juice

alternate= glucagon, nondiet soft drink, glucola, gluco-stat, decorative icing

28
Q

antiplatelet drug of choice?

A

aspirin

29
Q

aspirin action?

A

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

30
Q

antiplatelet/aspirin therapeutic indications?

A

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

31
Q

antiplatelet/aspirin side effects?

A
  • hemmorrahe
  • bleeding
  • aspirin alergy
32
Q

antiplatelet/aspirin dose?

A

standard= 162-324mg

33
Q

stock what sizes of syringes?

A

18 or 21

34
Q

bag-valve-mask

A

allows positive perssure

  • one way valve
  • needs to be see through
35
Q

burden of proof is with?

A

plaintiff

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

36
Q

expert winess

A

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

37
Q

standard of care

A

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

Med Emergencies (4 decks)

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