a process of pressing a medication onto a chalk tablet, making it available without having to be dissolved
adsorbed
cessation of breathing
apnea
open airway, check breathing, assess evidence of cirulation (pulse)
basic life support
having to do with the brain
cerebral
lack of oxygen in brain tissue
cerebral ischemia
an inadvisable treatment
contraindication
difficulty breathing
dyspnea
low blood glucose level
hypoglycemia
inadequate oxygen in body tissues
hypoxia
continuous, uncontrolled seizure
status epilepticus
a blood clot
thrombus
what are the nine steps to handling an emergency?
observe probable cause
position pt to open airway
BLS ABC's
911 system
notify dentist
assist in emergency meds
bring emergency kit to area
monitor vitals
provide 100% oxygen
the steps to handling an emergency are to observe the probable _____ of emergency, position pt to open the _____, BLS _____, activate _____ system, notify the _____ of the emergency, assist in emergency _____, bring eemergency ____ to area, monitor ____, provide 100% ______
cause
airway
ABCs
911
dentist
meds
kit
vitals
oxygen
what is nitroglycerin used for?
angina pain
what is the drug of choice for angina pain?
nitroglycerin
nitroglycerin has a strong ______ effect
vasodilation
what is to be used before the sublingual dose of nitroglycerin
oxygen
what is the max dose for nitroglycerin
3 tabs or spray over a 10 minute periond
what should you do if angina pain is not relieved within ten minutes and nitroglycerin has been given?
call EMS
t/f if a pt has has no history of angina then their pain is probably not angina pain, they should be laid in the supine position until pain stops
FALSE! call EMS IMMEDIATELY and give nitroglycerin
what drugs should be avoided when given nitroglycerin?
erectile dysfunction drugs (sildenafil) type 5 inhibitors
you must questiont he pt to see if used within the past 12 to 48 hours
what is the cause for most dental office emergencies?
STRESS-fear, anxiety and pain
t/f the role of the dental hygienist is determined by dental office emergency protocol
true true
t/f the dental hygienist can assist pt in retrieving personal medications
true (nitroglycerin, inhalers, insulin, epi pen)
when would you use an epi pen? 2
anaphylaxis
dyspnea (difficulty breathing)
when would you give a pt nitroglycerin?
angina
how long do you need to wait to give nitroglycerin if a pt is taking sildenafil or vardenafil?
12 hours (erectile dysfunction meds)
how long would a pt wait if they are taking tadalafil before taking nitroglycerin?
48 hours (its a tad bit longer than ED pills)
when would you give a pt glucose tabs?
hypoglycemia
when would a pt need a bronchodilator?
if they have difficulty breathing
what are beta 2 agonists for an asthma attack?
albutorol
pibutorol
when would you give a pt primatene mist (aerosolized epinephrine)
asthma attack
what is the #1 choice drug to stop a seizure?
benzodiazepines (diazepam)
if a pt unconsciousness during a seizure is delayed what can you wave under their nose?
ammonia amule (crushable glass perles)
what should be in an emergency kit for an overdose of benzodiapines as a sedative?
flumazeril antagonist
during hypoxia and loss of consciousness what would you do for the pt?
give oxygen
if a pt has an overdose of benzodiazepines as a sedative how will they act?
bizzare behavior
hyperexcitable reactions
irrational and try to leave the office
what should be done for a pt if having an immediate hypersensitivity reaction (anaphylaxis)?
epinephrine
administer oxygen
what should be done for a pt with anginal pain?
nitroglycerin
what should be done if a pt has an MI, acute coronary syndrom or heart attack?
chew 325mg aspirin tablet after calling EMS
what should be done for a pt whith hypoglycemia?
glucose to raise blood sugar levels
t/f there is glucose in artifical sweeteners?
FALSE
what should be given to a pt ifhaving difficulthy breathing?
albuterol-2 inhalations over 405 minutes and followed with 100% oxygen
what should be done for the management of a seizure?
benzodiazepines
ammonia ampule
Oxygen
when should naloxone be given to a pt?
during opioid induced respiratory depression
what is an opiod antagonist?
naloxone
when is oxygen contraindicated?
hyperventilation
if a dental office provides IV benzodiazepines what drug should be available in the dental emergency kit?
