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M Emergencies dental
Lecture #1
| Question | Answer |
|---|---|
| 7 things essential to dental kit | oxygen, epinephrine, nitroglycerin, histamine blocker, albuterol, aspirin, oral glucose. |
| use Oxygen excepted | hyperventilation |
| Oxygen tank parts | Green, Cylinder, regulator, flow meter, |
| Oxygen Cylinder | tank to hold oxygen |
| Oxygen regulator | on/ off postion |
| Oxygen flow meter | dial to determine how much oxygen is delivered to patient |
| Nasal Cannula | inserted in nostrils, deliver oxygen |
| Non-rebreathing mask | one-way valve, extra oxygen, reduce anxiety |
| Epinephrine treatment of | anaphylaxis |
| Epinephrine reduces | hypotension, bronchospasm, laryngeal edema, prevents additional release of histamine |
| Another emergency Epinephrine | severe asthma attack, but first choice albuterol |
| Nitroglycerin is used for | acute angina, myocardial infarction MI, or congestive heart failure. |
| Nitroglycerin work by | dialating the coronary boold vessels to provide additional oxygenation to heart muscle |
| Nitroglycerin available | tablet or spray |
| Nitroglycerin tablet if | exposed to air or light reduce shelf life by 12 weeks |
| Nitroglycerin doses | one tablet or spray should be administered sublingually , additional in 5min. NOT if BP falls below 90 |
| Histamine blocker | Diphenhydramine (25-50mg) or chlorpheneramine (10mg) |
| Histamine blocker is | for management allergic reactions, mild, non-life threatening |
| An injectable histamine blocker is | recommended for moderate allergic reactions |
| Diphenhydramine dosage | 25-50mg |
| chlorpheneramine dosage | 10-20mg |
| Pediatric dose | 1 mg/kg of body weight, should not exceed adult dose |
| Albuterol is a | bronchodilator used to treat an asthma attack or bronchospasm |
| Albutero inhaler | dilation of the bronchioles while cauing minimal cardiovascular effects |
| Albutero dose | two sprays |
| Aspirin | reduces mortality form MI |
| Aspirin dose | 162mg-325mg or 2 baby aspirin .81 |
| Oral carbohydrate | Glucose / diabetic Do not refrigeration |
| Glucagon(Oral carbohydrate) administered IM | for unconscious hypoglycemic adult dose 1mg |
| Atropine | management of hypotention, increase the heart rate also BP |
| Atropine dosage | .05mg and 3 mg maximum |
| Corticosteroid is | prevention of a recurrence of an anaphylactic reaction adreal crisis, slow on-set |
| Hydrocortisone 100mg | choice for dental office, steroids reduce histamine |
| Benzodiazepine | injectable, prolonged seizres or hyperventilation |
| Lorazepam drug of | for seizures |
| Addtional items in kit | bp cuff, stethoscope, syringes, pocket mask, perioretriever |
| Sycope | fanting |
| Orthostatic hypotention | postural hypotention, after local anesthetic |
| Hypertensive emergency treatment | seat upright, monitor vital signs , o2 |
| hypotention | position supine with feet raised ` |
| othrostatic hypotention | sudden drop in BP, due to change in the body position. Dizziness |
| orthrostatic hypotention symptoms | dimming vision, decreased hearing, light headed |
| orthrostatic hypotention treatment | position supine w feet raised |
Created by:
malika0980
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