SDCEP Drug Prescribing for Dentistry Flashcards
What are the key signs of anaphylaxis?
- marked upper airway oedema & bronchospasm, causing stridor or wheezing
- tachycardia (hr >110bbp)
- increased respiratory rate
What are some symptoms of anaphylaxis?
- abdominal pain
- vomiting & diarrhoea
- impending doom sense
- flushing or pallor
A patient in your dental practise is in anaphylaxis, what drugs do you administer according to SDCEP?
- 100% oxygen (15l/min)
- 0.5ml (1:1000) IM adrenaline [repeat after 5 mins if needed]
What are the key signs of life-threatening asthma?
- cyanosis or respiratory rate <8/min
- bradycardia (<50bpm)
- exhaustion, confusion, lack of consciousness
A patient in your dental practise is having an asthma attack, what drugs do you administer according to SDCEP?
- 100% oxygen (15l/min)
- 4 puffs of salbutamol inhaler through spacer (or their own if they have it) [repeat as needed]
A patient in your dental practise is experiencing angina, what drugs do you administer according to SDCEP?
- 100% oxygen (15L/min)
- Glyceryl Trinitrate (GTN) spray, 2 puffs sublingually [repeat after 3 mins if chest pain remains]
A patient in your dental practise is experiencing myocardial infarction, what drugs do you administer according to SDCEP?
- oxygen 100% (15L/min)
- aspirin, 300mg oral tablet chewed
What are the key signs a patient is experiencing an epileptic fit?
- sudden loss of consciousness
- rigidness/falling over
- jerking movements of limbs
- bitten tongue
A patient in your dental practise is in epileptic fit, what drugs do you administer according to SDCEP?
- oxygen 100% (15L/min)
IF PROLONGED/REPEATED: - 10mg midazolam into buccal cavity
What are some key signs that a patient is experiencing Hypoglycaemia?
- aggression & confusion
- sweating
- tachycardia
What are some key symptoms that a patient is experiencing Hypoglycaemia?
- shaking & trembling
- lack of concentration
- slurring of speech
- headache
- fitting
A patient in your dental practise is experiencing hypoglycaemia and is AWAKE, what drugs do you administer according to SDCEP?
- 100% Oxygen (15L/min)
- Oral glucose (10-20g) [repeat if necessary after 10/15 mins]
A patient in your dental practise is experiencing hypoglycaemia and has lost consciousness, what drugs do you administer according to SDCEP?
- 100% Oxygen (15L/min)
- Glucagon 1mg IM injection
- 10-20g of oral glucose when pt regains consciousness
What drug class may be used as a premedication to aid dental anxiety management according to SDCEP?
Benzodiazepines
A patient has severe dental anxiety, what drug & dose do you prescribe them according to SDCEP?
Diazepam Tablets
- 5mg, 1x, 2 hours before procedure
What are the first line antibiotics prescribed to treat dental abscesses (given the pt has no allergies) according to SDCEP?
Phenoxymethylpenicillin
- 2x 250mg tablets, 4 times a day
- 5 days
Amoxicillin
- 1 x 500mg tablet, TID
- 5 days
What is the first line antibiotic prescribed to treat dental abscesses (pt has penicillin allergy) according to SDCEP?
Metronidazole
- 1 x 400mg tablet, TID
- 5 days
What are the second line [no response to first line/severe infection] antibiotics prescribed to treat dental abscesses according to SDCEP?
Clindamycin
- 1x 150mg tablet, 4 times a day
- 5 days
Clarithromycin
- 1x 250mg tablet, 2 times a day
- 7 days
What is the antibiotic prescribed to treat NUG/pericoronitis according to SDCEP?
Metronidazole Tablets
- 1x 400mg tablet, TID
- 3 days
What is the antibiotic prescribed to treat sinusitis (given the pt has no allergies) according to SDCEP?
Phenoxymethylpenicillin
- 2x 250mg tablets, 4 times a day
- 5 days
What systemic drug is prescribed to treat candidosis/denture stomatitis according to SDCEP?
Fluconazole Capsules
- 1x 50mg capsule a day
- 7 days [can repeat once if no effect]
What topical drugs are prescribed to treat candidosis/denture stomatitis according to SDCEP?
Miconazole Oro-Mucosal gel
- 80g tube, apply pea-sized amount after food, 4 times daily
- 7 days
Nystatin Oral Suspension
- 30ml, 1ml after food 4 times daily
- 7 days
What topical drugs are prescribed to treat herpes simplex infections according to SDCEP?
Chlorhexidine MW
- 0.2%, rinse mouth for 1 min with 10ml 2x daily
Hydrogen Peroxide MW
- 6%, rinse mouth for 2 mins with 15ml diluted in half a tumbler of warm water, 3x daily
What systemic drug is prescribed to treat herpes simplex infections according to SDCEP?
Aciclovir Tablets
- 1x 200mg tablet, 5x a day
- 5 days
What topical drug is prescribed to treat herpes labialis according to SDCEP?
Aciclovir Cream
- 5%, 2g tube, apply to lesion every 4 hours (5x daily)
- 5 days
What systemic drug is prescribed to treat Varicella zoster (shingles) according to SDCEP?
Aciclovir Tablets
- 1x 800mg tablet, 5x a day
- 7 days
What drug is prescribed [via GDP] to treat trigeminal neuralgia according to SDCEP?
Carbamazapine Tablets
- 1x 100mg tablet, 2x a day
- 10 days
What is prescribed to treat ulceration & inflammation in the first instance according to SDCEP?
Chlorhexidine MW
- 0.2%, rinse for 1 min with 10ml 2x daily
What saliva replacement drugs can be prescribed to treat a dry mouth according to SDCEP?
- BioXtra Gel
- Glandosane spray
- Saliva Orthana spray
What local analgesic drugs are prescribed to treat ulceration & inflammation according to SDCEP?
Benzydamine Oromucosal Spray
- 0.15%, 4 sprays onto affected area every 1.5hrs
Lidocaine Ointment
- 5%, rub sparingly & gently onto affected area
What topical corticosteroid drugs are prescribed to treat ulceration & inflammation according to SDCEP?
Betamethasone Tablets
- 500ug, 1 tablet dissolved in 10 ml water as a mouthwash 4x daily
Hydrocortisone Oromucosal Tablets
- 2.5mg, 1 tablets dissolved next to lesion 4x a day
