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DT261-Emergency
Basic Medical Emergency Drugs
Term | Definition |
---|---|
Epinephrine: Indications | •Cardiac Arrest •Allergic Reaction-Anaphylaxis •Acute Asthmatic Attack |
Epinephrine: Mode of Action | • stimulation of the myocardium • stimulation of the bronchial smooth muscle |
Epinephrine: Administration | Must be readily available in all dental treatment settings. Supplied in glass ampules as well as pre-filled syringes (Epi-Pen). Given by intravenous, intramuscular, endotracheal, or intracardiac routes. |
Diphenhydramine: Indications | Some allergic reactions |
Diphenhydramine: Mode of Action | Antihistamine competes with histamine for tissue receptor sites Rapid reversal of allergic symptoms should not be expected. |
Diphenhydramine: Administration | Supplied as Benadryl Often used on combination with epinephrine Administered Intramuscularly or orally. Intramuscular Dosage : 50mg (maximum dosage teens and adults) 30 mg (maximum dosage for children- 8 to 12 years) Warning: not for use in |
Oxygen: Indications | Indicated in most emergencies Used to treat hypoxia Support for respiratory depression after narcotic medications. Preventive use during medical emergencies; used during CPR and cardiac events May not be useful in patient's with asthma |
Oxygen: Mode of Action | Room air is approximately 20% Oxygen. By supplying 100% oxygen, patients can receive enough oxygen when breathing is suppressed or insufficient. |
Oxygen: Administration | The most common method is nasal canula to prevent hypoxia. A mask or ambu-bag is used during resuscitative efforts Oxygen is always administered with nitrous oxide via nasal hood. Use a pulse oximeter to monitor effectiveness (97-100). |
Nitroglycerin: Indications | Acute anginal attack (Chest pain) Patients with coronary artery disease |
Nitroglyerin: Mode of Action | Dilation of major arteries in the heart Opens blood vessels so that the heart does not have to work as hard, and therefore does not need as much oxygen. |
Nitroglycerin: Administration | Used at the first sign of symptoms. Tablets: Supplied as a sublingual tablet that is placed under the tongue. May cause dizziness or fainting or may cause headaches Caution in using after drugs like sildenafil (Viagra) Dose: 0.3 - 0.6 m |
Glucose: Indications | Hypoglycemia related to diabetes Insulin overdose |
Glucose: Mode of Action | The glucose sugar supports the brain and can be used in the event of low blood sugar which will cause disturbances in consciousness. |
Glucose: Administration | Place a small amount in the buccal pouch or under the tongue. Do not use in unconscious patients Use a can of CocaCola for early prevention of hypoglycemia Honey, cake frosting can also be used in a nonclinical setting. Use fingerstick |
Albuterol: Indications | Acute asthmatic attack Respiratory distress accompanying anaphylaxis Bronchospasm |
Albuterol: Mode of Action | Short-acting adrenergic agonist Produces bronchodilation (in a few seconds) |
Albuterol: Administration | Albuterol comes as a solution (liquid) to inhale by mouth using a special jet nebulizer (machine that turns medication into a mist that can be inhaled). Also as a powder to inhale by mouth using an inhaler. |
Aspirin | Aspirin (acetylsalicylic acid) is one of the more newly recognized life-saving drugs, as it has been shown to reduce overall mortality from acute myocardial infarction. The purpose of its administration during an acute myocardial infarction is to prev |