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Med Emergencies 1
Medical Emergencies Test 1
| Question | Answer |
|---|---|
| how many emergencies occur in the waiting room? | 1.5% |
| how many emergencies occur following the injection? | 55% |
| how many emergencies occur during treatment? | 23% |
| how many emergencies occur in office after treatment? | 15% |
| how many emergencies occur later at home? | 5.5% |
| how do you give a superior vast us lateralis? | superior: a hands breath below the greater trochanter inferior: hands breadth above the knee |
| what oxygen do you want to give | E size cylinder which holds over 600 Liters with positive pressure 10-15 liters per minute |
| what is ASA I? | normal healthy patient |
| what is ASA II? | patient with mild systemic disease that does not interfere with day to day activities like smoking, mild to moderate controlled hypertension and well controlled asthma |
| what is ASA III? | patient with moderate to severe systemic disease that is not incapacitating but may alter day to day activity like severe hypertension, MI within 6 months, COPD |
| what is ASA IV? | patient with severe systemic disease that is constant threat to life liver failure |
| what is ASA V? | a morbid patient not expected to survive 24 hours with or without operation |
| what is a poorly controlled A1c number | 9-12% |
| what is stage 1 hypertension | systolic 140-159 diastolic 90-99 |
| what is stage 2 hypertension | systolic: 160-179 diastolic: 100-109 |
| what is stage 3 hypertension? | systolic: 180-209 diastolic: 110-119 |
| what is stage 4 hypertension? | systolic greater than 210 diastolic greater than 120 |
| how much benadryl is given to an adult? | 25-50 mg for 6-8 hours |
| how much benadryl is given to a child? | 12.5-25 mg 6-8 hours |
| how much epinephrine is given to an adult? | 0.3-0.5 mg 1:1,000 IM or SQ 1: 10,000 IV |
| how much epinephrine is given to a child? | 0.01 mg |
| what is class I CHF? | no limitation of physical activity, no dyspnea or fatigue |
| what is Class II CHF? | slight limitation of physical activity, have fatigue palpitations, dyspnea with ordinary physical activity, but comfortable at rest |
| what is Class III CHF? | marked limitation of activity, but comfortable at rest |
| what is Class IV CHF? | symptoms are present at rest and physical exertion exacerbates the symptoms |
| which class of CHF are not good candidates for elective dental treatment? | class III and IV patients |
| what is an extrinsic asthmatic? atopic | triggering agent is known, predictable treated well with short acting steroids |
| what is an intrinsic asthmatic? | triggering agent is unknown, systemic steroid |
| What is chronic Bronchitis? | elevated PCO2, decreased PaO2, erythrocytosis blue bloaters |
| what is emphysema? | normal PCO2, decreased PaO2, normal hematocrit pink puffers |
| what would be an indication for using oral administration of drugs? | carbohydrates in a hypoglycemic episode oral sublingual nitroglycerine |
| what is a very fast route of drug administration secondary to vascular supply? | intra nasal |
| what is the most common syncope in a dental office? | vasodepressor |
| what is the drug of choice for emergency treatment of anaphylaxis and asthma which does not respond to its drug of first choice, albuterol or salbutamol? | epinephrine |
| what is thyroid storm? | results from untreated or inadequately treated thyrotoxicosis and may be precipitated by infection, trauma, surgery |