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level: Emergency drugs in dentistry

Questions and Answers List

level questions: Emergency drugs in dentistry

Question	Answer
What are the following drugs etirizine 10mg tablets Chlorphenamine 4mg tablets Loratidine 10mg tablets	Mild antihistamines
When is O2 given in an emerency scenario	hypoxaemia (e.g. acute cardiac, respiratory, CNS disorders)
What is high flow O2	15 litres a minute
target sats	94-98%
Adrenaline in emergencies	1mg in 1ml (1:1000) IM □ Drawn up from vial □ Pre-filled syringes (e.g. EpiPen®) 1mg in 10mls (1:10,000) IV □ Peri-arrest or Cardiac Arrest DO NOT MIX UP DOSING OF DIFFERENT PREPARATIONS
what are these symptoms of Flushing and swelling of face Generalised itching Bronchospasm and laryngospasm Rapid weak pulse; hypotension; pallor; finally cardiac arrest	Type one hypersensitivity reaction
What are the key componenets of treating an MI	morphine, oxygen, nitrate, aspirin, reperfusion therapy
How is asprin given	Aspirin dispersible or chewable 300mg
What does glucose treat	hypoglycaemia
When would glucagon be given	If cannot be given by mouth efffectively e.g. if patient is unconcious
How is glucagon given	Dose: glucagon 1 mg (1 unit) by intramuscular (or subcutaneous) injection ○ Takes 5-10 minutes to work ○ Need to have glycogen storage for this to work Do in some circumstances e.g. severe anorexia, glycogen stores might be low and in which case glucagon is ineffective
Which drug is described below ○ Converted to Nitric Oxide in body = potent vasodilator ○ Actions: § Coronary artery vasodilatation § Reduction in myocardial oxygen consumption § Helps relieve pain from angina § However also causes a large drop on blood pressure (make sure they stay sat) ○ Presentation – tablets or spray (under the tongue) ○ Dose – sublingually 2 sprays (300 micrograms / spray)	Glyceryl trinitrate
What is midazolam used for	Anti-epileptic
In what situation is the following instructions appropriate for Safety, oxygen, recovery position, blood glucose, ? Medication (5 min rule) 999?: status , high risk of recurrence, 1st, difficulty monitoring patient (NICE)	Epileptic fit
how many millograms of midazolam are given and after how long of a seizure lasting should it be administered- given buccally	10 5
How much Salbutamol beta 2 adrenoreceptor agonist is to be given via a spacer	2 puffs 200 mg normally given
These two stages allow assessment of what Impairment or disturbance of the functioning of the mind Unable to understand, retain or weigh up information to make a decision or communicate a decision May need to seek legal advice if someone is refusing treatment which may be important	Capacity
What is this the treatment for -mood stabilisers and anti-psychotics	manic depression/ bipolar
What is being described very odd mannerisms, abnormal movements, immobility, abnormal behaviours	catatonia
Dental implication of anxiety	Dry mouth
What meds are used to treat anxiety	anti-depressants
Oral manifestations of eating disorder oral manifestations:	Traumatic lesions from objects to induce vomiting Angular cheilitis, candidiasis, glossitis, or oral mucosal ulceration due to malnutrition High risk of decay Bilateral parotid swelling in those that vomit