Term
| What is the most important thing to look at in medical emergency? |
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Definition
| medical history/vital signs |
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Term
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Definition
| American Society of Anesthesiologists |
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Term
| how many ASA classes are there and what are they based upon |
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Definition
based upon health risk
ASA I
ASA II
ASA III
ASA IV
ASA V |
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Term
| if someone is pretty healthy and can walk up 2 flights of stairs or 2 city blocks without difficulty what ASA class is this? |
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Definition
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Term
| A patient presents with mild systemic disease, and can become short of breath when walking 2 city blocks or 2 flights of stairs this is an example of what ASA class |
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Definition
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Term
| what are some examples of conditions that could cause one to be ASA II |
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Definition
-diabetic
-epilepsy
-high bp Over 140/90
-uncontrolled asthma
-allergies
-pregnancy |
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Term
| what should 1 have to be prepared for medical emergency? |
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Definition
AED
Oxygen
Current CPR certification
emergency simulations |
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Term
| if someone has a severe systemic disease limiting ones ability. Can walk 1 city block or stair but has shortness of breath. what ASA class is this |
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Definition
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Term
| angina, MI longer than 6 months ago, well controlled type 1 diabetic, heart failure, or very high bp 160/95 |
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Definition
| these are characteristics of ASA class III |
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Term
| what ASA class types can the hygienist see without dentist present? |
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Definition
I
II
A hygienist could work on class III but only when dentist is on premises. |
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Term
| if a persons life is constantly at risk due to incapacitating systemic disease that they are unable to walk a city block or flight of stairs this is what ASA class type |
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Definition
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Term
| what are some medical examples of ASA class IV |
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Definition
mi within 6 months
unstable angina
heart failure
uncontrolled diabetes
uncontrolled epilepsy
bp 200/115 |
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Term
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Definition
| moribund patient not expecting to survive 24 hours without operation |
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Term
| explain emergency team structure |
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Definition
member 1 stays with patient and recruits member 2
member 2 GOPHER recruits member 3, gets doctor, DH faculty, drug kit, oxygen, AED, calls 911 if needed
member 3 records all vital signs, events, meds
clinic coordinator MS. Foxwell directs emergency to operatory
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Term
| where is the drug kit stored at night |
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Definition
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Term
| where can oxygen, AED, drug kit be found during clinic hours |
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Definition
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Term
| oxygen is used for all emergencies except which one? |
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Definition
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Term
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Definition
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Term
| the effects for epinephrine are |
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Definition
-open airways
-increase bp
-increase pulse
-rapid onset and short duration
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Term
| what is usually administered in conjunction with epinephrine due to its short term effects? |
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Definition
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Term
| what is the dosage of epinephrine for adult and child? |
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Definition
adult- 0.3 mg with 1:1000 concentration IM (intramuscular)
Child- 1:2000 lower concentration |
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Term
| what does nitroglycerine do? |
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Definition
opens blood vessels/vasodilation
for acute angina or MI |
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Term
| what is the shelf life of open nitroglycerine? |
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Definition
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Term
| if initial dose of nitroglycerine does not work what do you do |
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Definition
| wait 5 min and give another dose, after that wait 5 min then give a third dose. |
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Term
| when is nitroglycerine contraindicated? |
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Definition
| when systolic blood pressure is below 90 |
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Term
what is diphenhydramine or chlorpheneramine?
and when is it used? |
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Definition
benadryl
histimine blocker for itching or rash
allergic reactions with urticaria (rash) and pruritis (itching) |
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Term
| what is the dosage of diphenhydramine |
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Definition
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Term
| what is the dosage of chlorpheneneramine? |
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Definition
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Term
| What is albuterol used for? |
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Definition
brochodilator for asthma
found in inhalers
dilates respiratory system
quick response peaks 30-60 min
lasts about 4-6 hours
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Term
| how many sprays of albuterol is an adult dose |
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Definition
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Term
| aspirin is administered when? |
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Definition
for early MI
works as anticoagulant so reduces cardiac injury
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Term
| what is the dose of aspirin that is given in clinic emergency |
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Definition
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Term
| what is a contraindication of giving an MI patient an aspirin? |
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Definition
| if patient is allergic to aspirin |
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Term
| when would an oral carbohydrate be used? |
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Definition
a diabetic emergency
hypogycemic/shock
caused by too much excercise not enough food
too much insulin
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Term
| what are some indications of a hypoglycemic patient? |
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Definition
cold, clammy, grouchy, confused, bp dropping
treat with glucose tablets or paste |
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Term
| what are the supplemental drugs used for epileptics? |
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Definition
valium or lorazepam (injectible benzodiasepine)
used for prolonged or recurring seizures or hyperventilation
causes skeletal muscle relaxation
used for anti convulsant |
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Term
| valium may be used as a sedative for what? |
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Definition
| seizures, anxiety, back pain |
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Term
| what is the supplement you would use on unconcious hypoglycemic patient? |
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Definition
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Term
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Definition
| in medical setting usually before surgery, it increases heart rate and manages hypotension and bradycardia |
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Term
| what is corticosteroid used for? |
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Definition
prevent anaphylactic reaction
adrenal crisis management
reduces histamine release
slow onset |
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Term
| what are some examples of supplemental equipment in operatory? |
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Definition
-bp cuff
-stethoscope
-one way valve pocket mask
syringes for IM drugs
perioretriever magnatized for broken dental tips
-band aids
-sterile gauze
-ice pack
-thermometer |
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