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BDS4 EXAM STUDY > SDCEP Drug Prescribing for Dentistry > Flashcards

SDCEP Drug Prescribing for Dentistry Flashcards

1
Q

What are the key signs of anaphylaxis?

A
  • marked upper airway oedema & bronchospasm, causing stridor or wheezing
  • tachycardia (hr >110bbp)
  • increased respiratory rate
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2
Q

What are some symptoms of anaphylaxis?

A
  • abdominal pain
  • vomiting & diarrhoea
  • impending doom sense
  • flushing or pallor
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3
Q

A patient in your dental practise is in anaphylaxis, what drugs do you administer according to SDCEP?

A
  • 100% oxygen (15l/min)
  • 0.5ml (1:1000) IM adrenaline [repeat after 5 mins if needed]
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4
Q

What are the key signs of life-threatening asthma?

A
  • cyanosis or respiratory rate <8/min
  • bradycardia (<50bpm)
  • exhaustion, confusion, lack of consciousness
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5
Q

A patient in your dental practise is having an asthma attack, what drugs do you administer according to SDCEP?

A
  • 100% oxygen (15l/min)
  • 4 puffs of salbutamol inhaler through spacer (or their own if they have it) [repeat as needed]
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6
Q

A patient in your dental practise is experiencing angina, what drugs do you administer according to SDCEP?

A
  • 100% oxygen (15L/min)
  • Glyceryl Trinitrate (GTN) spray, 2 puffs sublingually [repeat after 3 mins if chest pain remains]
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7
Q

A patient in your dental practise is experiencing myocardial infarction, what drugs do you administer according to SDCEP?

A
  • oxygen 100% (15L/min)
  • aspirin, 300mg oral tablet chewed
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8
Q

What are the key signs a patient is experiencing an epileptic fit?

A
  • sudden loss of consciousness
  • rigidness/falling over
  • jerking movements of limbs
  • bitten tongue
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9
Q

A patient in your dental practise is in epileptic fit, what drugs do you administer according to SDCEP?

A
  • oxygen 100% (15L/min)
    IF PROLONGED/REPEATED:
  • 10mg midazolam into buccal cavity
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10
Q

What are some key signs that a patient is experiencing Hypoglycaemia?

A
  • aggression & confusion
  • sweating
  • tachycardia
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11
Q

What are some key symptoms that a patient is experiencing Hypoglycaemia?

A
  • shaking & trembling
  • lack of concentration
  • slurring of speech
  • headache
  • fitting
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12
Q

A patient in your dental practise is experiencing hypoglycaemia and is AWAKE, what drugs do you administer according to SDCEP?

A
  • 100% Oxygen (15L/min)
  • Oral glucose (10-20g) [repeat if necessary after 10/15 mins]
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13
Q

A patient in your dental practise is experiencing hypoglycaemia and has lost consciousness, what drugs do you administer according to SDCEP?

A
  • 100% Oxygen (15L/min)
  • Glucagon 1mg IM injection
  • 10-20g of oral glucose when pt regains consciousness
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14
Q

What drug class may be used as a premedication to aid dental anxiety management according to SDCEP?

A

Benzodiazepines

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15
Q

A patient has severe dental anxiety, what drug & dose do you prescribe them according to SDCEP?

A

Diazepam Tablets
- 5mg, 1x, 2 hours before procedure

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16
Q

What are the first line antibiotics prescribed to treat dental abscesses (given the pt has no allergies) according to SDCEP?

A

Phenoxymethylpenicillin
- 2x 250mg tablets, 4 times a day
- 5 days

Amoxicillin
- 1 x 500mg tablet, TID
- 5 days

17
Q

What is the first line antibiotic prescribed to treat dental abscesses (pt has penicillin allergy) according to SDCEP?

A

Metronidazole
- 1 x 400mg tablet, TID
- 5 days

18
Q

What are the second line [no response to first line/severe infection] antibiotics prescribed to treat dental abscesses according to SDCEP?

A

Clindamycin
- 1x 150mg tablet, 4 times a day
- 5 days

Clarithromycin
- 1x 250mg tablet, 2 times a day
- 7 days

19
Q

What is the antibiotic prescribed to treat NUG/pericoronitis according to SDCEP?

A

Metronidazole Tablets
- 1x 400mg tablet, TID
- 3 days

20
Q

What is the antibiotic prescribed to treat sinusitis (given the pt has no allergies) according to SDCEP?

A

Phenoxymethylpenicillin
- 2x 250mg tablets, 4 times a day
- 5 days

21
Q

What systemic drug is prescribed to treat candidosis/denture stomatitis according to SDCEP?

A

Fluconazole Capsules
- 1x 50mg capsule a day
- 7 days [can repeat once if no effect]

22
Q

What topical drugs are prescribed to treat candidosis/denture stomatitis according to SDCEP?

A

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

23
Q

What topical drugs are prescribed to treat herpes simplex infections according to SDCEP?

A

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

24
Q

What systemic drug is prescribed to treat herpes simplex infections according to SDCEP?

A

Aciclovir Tablets
- 1x 200mg tablet, 5x a day
- 5 days

25
Q

What topical drug is prescribed to treat herpes labialis according to SDCEP?

A

Aciclovir Cream
- 5%, 2g tube, apply to lesion every 4 hours (5x daily)
- 5 days

25
Q

What systemic drug is prescribed to treat Varicella zoster (shingles) according to SDCEP?

A

Aciclovir Tablets
- 1x 800mg tablet, 5x a day
- 7 days

26
Q

What drug is prescribed [via GDP] to treat trigeminal neuralgia according to SDCEP?

A

Carbamazapine Tablets
- 1x 100mg tablet, 2x a day
- 10 days

27
Q

What is prescribed to treat ulceration & inflammation in the first instance according to SDCEP?

A

Chlorhexidine MW
- 0.2%, rinse for 1 min with 10ml 2x daily

28
Q

What saliva replacement drugs can be prescribed to treat a dry mouth according to SDCEP?

A
  • BioXtra Gel
  • Glandosane spray
  • Saliva Orthana spray
29
Q

What local analgesic drugs are prescribed to treat ulceration & inflammation according to SDCEP?

A

Benzydamine Oromucosal Spray
- 0.15%, 4 sprays onto affected area every 1.5hrs

Lidocaine Ointment
- 5%, rub sparingly & gently onto affected area

30
Q

What topical corticosteroid drugs are prescribed to treat ulceration & inflammation according to SDCEP?

A

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

31
Q
A

BDS4 EXAM STUDY (39 decks)

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