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Pharm40

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robbypowell's version from 2016-12-13 01:59

Emergency

Question Answer
what is the most common "medical emergency" situation that happens in dentistry?Syncope (passing out)
What are the 3 "mandatory" Emergency drugs to have available?Oxygen (for any hypoxia related episode), Epinephrine (Acute allergic rxn's and Acute asthma that is not responding to inhaler) & Nitroglycerine (Angina Pectoris, Acute Myocardial Infarction)
The mose effective way to treat emergency situations is ________Prevention (of course... the dumbest statement)
memorize

Drug and (when relevant) dose given in emergency situation

Question Answer
SeizuresDiazepam (anticonvulsant BZD) 2-20 mg (IV)
Allergic reaction (supplement to Epinephrine)Diphenyhydramine (benadryl) 50mg
Asthma attack (primary)Albuterol (asthma inhaler) 90micro-grams
SyncopeAromatic Ammonia Spirits (smelling salts) 0.4 mL (1 ampule) (OR just bring in a particularly smelly classmate of your choosing)
Hypoglycemia and loss of consciousnessGlucagon, 0.5-1.0 unit; (or iv administration of 50% dextrose)
What respiratory condition can you not use 100% oxygen?Emphysema (they can stop breathing)
Myocardial infarction, what is an inhaled adjunct that can relieve the pain?Nitrous Oxide (50% Nitrous Oxide, 50% oxygen)
Myocardial infarction, what is an injected adjunct that can relieve the pain?Morphine Sulfate; 5-15 mg (subcutaneous injection)
Hypoglycemia with unimpaired consciousnessSugar (cake icing or sugar cubes)
Narcotic OverdoseNaloxone, 0.4 mg
Adjunct in allergy or especially in SHOCKMethylprednisone
inhaled emergency tx for angina pectorisAmyl nitrite
Anaphylaxis, acute asthma (when inhaler doesn't work), or laryngeal edemaEpinephrine, 0.3-0.5 mg
Acute HYPOtensive crisisMephenermine
Acute HYPERtensive crisisDiazoxide
memorize