Emergency Equipment and Medication Guide

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Questions and Answers

In a dental emergency, which of the following medications would be most appropriate for managing a patient experiencing an acute asthma attack?

  • Salbutamol (correct)
  • Aspirin
  • Glyceryl trinitrate (GTN) spray
  • Epinephrine

A patient in the dental chair suddenly experiences chest pain. After activating the emergency protocol, which medication should be administered first, assuming no allergies or contraindications?

  • Midazolam
  • Glucose
  • Aspirin (correct)
  • Oxygen

A patient becomes unresponsive and is known to be diabetic. After confirming unresponsiveness and calling for assistance, which medication is most appropriate to administer?

  • Midazolam
  • Glyceryl trinitrate (GTN)
  • Glucagon (correct)
  • Salbutamol

A patient is having a seizure in the dental office. Which medication is most appropriate for managing this situation?

<p>Midazolam (B)</p> Signup and view all the answers

Which of the following is the correct concentration of adrenaline to use for adults experiencing anaphylaxis?

<p>500mg/0.5ml (B)</p> Signup and view all the answers

A patient begins to experience difficulty breathing, facial swelling, and a rapid heart rate shortly after local anaesthetic injection. Which medication should be administered immediately?

<p>Epinephrine (A)</p> Signup and view all the answers

What immediate action should be taken when a patient experiences a sudden cardiac arrest in the dental office?

<p>Use a defibrillator following automated instructions (A)</p> Signup and view all the answers

How is Glyceryl trinitrate (GTN) spray typically administered?

<p>Sublingually (B)</p> Signup and view all the answers

What is the standard dosage of dispersible aspirin that should be administered to a patient experiencing a suspected heart attack in the dental office?

<p>300mg (C)</p> Signup and view all the answers

How many actuations of salbutamol inhaler are recommended when treating a patient experiencing an asthma exacerbation in the dental chair?

<p>Two actuations (B)</p> Signup and view all the answers

Flashcards

Epinephrine (Adrenaline)

An emergency medication used to treat severe allergic reactions by constricting blood vessels and relaxing airway muscles.

Defibrillator (AED)

Emergency device that delivers an electrical shock to restore a normal heart rhythm in cases of sudden cardiac arrest.

Glyceryl Trinitrate (GTN) spray

Emergency medication to treat angina and suspected heart attacks by widening blood vessels and improving blood flow.

Midazolam

Emergency medication used to treat seizures, administered via the oral buccal mucosa.

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Salbutamol (Bronchodilator)

Emergency medication used to dilate airways in conditions like asthma.

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Dispersible Aspirin

Emergency medication that prevent blood clots, administered orally via the chewable tablets.

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Glucose

Emergency measure to treat hypoglycemia, where the patient is conscious and cooperative.

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Glucagon

Emergency medication used to treat unconscious patient with severe hypoglycemia, administered via intramuscular injection.

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Oxygen

Emergency gas that supports the patient's resporation via a face mask.

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Study Notes

  • Time is of the essence during medical emergencies
  • Must be familiar with appearance of emergency equipment/medications

Emergency equipment and medications

  • Defibrillator (AED)
  • Epinephrine
  • Aspirin
  • Glucose / Glucagon
  • Glyceryl trinitrate (GTN) spray
  • Midazolam
  • Salbutamol
  • Oxygen

Defibrilator

  • During cardiac emergencies, use defibrillator and follow the automated instructions
  • Use for any patient at risk from cardiac interruptions

Adrenaline

  • Adults dosage: 500mg/0.5ml concentration of 1:1000 (Injection)
  • Indicated for Anaphylaxis
  • Dosage may be repeated at 5 min intervals after adequate response
  • Children (6-12 years): 300mg/0.30ml (Injection)
  • Indicated for Anaphylaxis
  • Dosage may be repeated at 5 min intervals after adequate response
  • Children (under 6 years): 150 mg/0.15ml (Injection)
  • Indicated for Anaphylaxis
  • Dosage may be repeated at 5 min intervals after adequate response

Glyceryl trinitrate (GTN) spray

  • Dosage 400-800mcgs administered sublingually via 2 actuations
  • Indicated for Angina or suspected heart attack
  • Actuations may be repeated

Salbutamol (Bronchodilator)

  • Dosage of 100mg administered via 2 actuations inhaled
  • Indicated for Asthma
  • Actuations may be repeated.
  • If no response, use nebuliser solution and oxygen
  • A spacer can be used

Dispersible Aspirin

  • Dosage of 300mg administered orally
  • Indicated for suspected cardiac conditions
  • Tablet is chewable, check for allergy first

Glucose

  • Dosage of 15-20mg administered orally
  • Indicated for Hypoglycaemia in a co-operative patient
  • 15-20mg is equivalent to 3 jelly babies

Glucagon

  • Dosage is 1mg per vial
  • For children under 8, dosage is 0.5mg
  • Administer intra muscular injection for severe Hypoglycaemia, in unconscious patient
  • Must be kept in fridge and needs mixing

Midazolam

  • Adult dosage: 10mg
  • Children 5-10 years dosage: 7.5mg
  • Children 1-5 years dosage: 5mg
  • Administer via oral buccal mucosa
  • Indicated for Status Epilepticus
  • Must be kept in fridge and needs mixing

Oxygen

  • Administer via face mask for almost everything

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