Medical Emergencies

Multiple Choice 1. What is the MOST common emergency to occur in the dental office? A. Mild allergic reaction B. Angina C. Syncope D. Anaphylaxis 2. All of the following procedures will help to prevent an emergency in a dental office EXCEPT: A. accurate medical history taking. B. taking and recording vital signs. C. updating the medical emergency kit. 3. If a patient responds positively on his or her medical history to epilepsy, you will need to be on the lookout for: A. dyspnea. B...

MEDICAL EMERGENCIES

1. Sources, signs and symptoms of sepsis include, but are not limited to:: - Fever, UTI, Pneumonia, wounds or insertion sites, patient is on antibiotics and has significant diarrhea, abdominal pain or tenerdess, recent history of surgery/invasive medical procedure, AMS and/or poor oral intake over the past 24-48 hours, bed sores, abscesses, cellulitis or imnmobility 2. Transport all Sepsis Alerts as:: Priority 2 3. SEPSIS ALERT CRITERIA. If all of the following are met, call a SEPSIS ALERT: Ad...

Understand the Concepts: Acid-base balance and buffering system of PH: Although the pH scale is concerned with acidity and alkalinity relative to pure water, for biological purposes, acidity and alkalinity relative to the typical range of the pH of blood is the primary focus. Blood has a normal pH range of 7.35-7.45. A pH that deviates far outside this range can be lethal. If a person has a blood pH of <7.35 the person is said to be acidotic or have acidosis, if a person has a blood pH o...

1. Which of the following meds helps the body transport sugar into the cells? • Insulin/ Orinase/ Diabinese/ Oral glucose Reason: Because insulin the key to the cells. 2. A 32 year PT is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? • Give a few rescue breaths then check for a response/ Take at least 2 minutes to detect a pulse rate/ Assess her pulse for 30-45 seconds/ Immediately begin cardiopulmonary resuscitation ...

An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? - Answer - Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration) A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What s...

MEDICAL EMERGENCY SIGNS & SYMPTOMS TREATMENT Adrenal crisis • Collapse • Pallor • Cold & clammy skin • Hypotension and Dizziness • Vomiting & diarrhoea • Airway Breathing Circulation Disability Exposure • Call 999 • Lie flat • Oxygen 15 litres/min

Which of the following should be done jest if an adult patient does not have a pulse? - Answer Call for emergency assistance Elevating the patients feet above the head to increase blood flow to the brain is the response to what medical condition? - Answer Syncope Clinical consideration for patients with bronchial asthma should include ? - Answer Shorter appointments to reduce stress A patient with which of the following medical conditions may benefit from prophylactic sublingual nitroglyc...

List of Contributors ix Preface xi Acknowledgements xiii 1 Introduction, Infection Control and Prescribing 1 M. Greenwood Introduction to the dental emergency clinic 1 Infection and infection control 2 Prescribing 8 Conclusions 12 Further reading 12 2 History Taking and Clinical Examination of Patients on a Dental Emergency Clinic 13 I.P. Corbett, C.B. Hayward and M. Greenwood Introduction 13 History taking 13 Patient examination 18 Special tests 24 Record keeping 25 Consent 25...