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M Emergencies dental

Lecture #1

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