Pharm Exam 2
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a process of pressing a medication onto a chalk tablet, making it available without having to be dissolved
cessation of breathing
open airway, check breathing, assess evidence of cirulation (pulse)
basic life support
having to do with the brain
lack of oxygen in brain tissue
an inadvisable treatment
low blood glucose level
inadequate oxygen in body tissues
continuous, uncontrolled seizure
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% ______
what is nitroglycerin used for?
what is the drug of choice for angina pain?
nitroglycerin has a strong ______ effect
what is to be used before the sublingual dose of nitroglycerin
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?
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
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
- dyspnea (difficulty breathing)
when would you give a pt nitroglycerin?
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?
when would a pt need a bronchodilator?
if they have difficulty breathing
what are beta 2 agonists for an asthma attack?
when would you give a pt primatene mist (aerosolized epinephrine)
what is the #1 choice drug to stop a seizure?
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?
during hypoxia and loss of consciousness what would you do for the pt?
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)?
- administer oxygen
what should be done for a pt with anginal pain?
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?
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?
- ammonia ampule
when should naloxone be given to a pt?
during opioid induced respiratory depression
what is an opiod antagonist?
when is oxygen contraindicated?
if a dental office provides IV benzodiazepines what drug should be available in the dental emergency kit?
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