WREB Local Anesthesia questions and verified correct answers

What happens in a anaphalactic reaction - correct answer life-threatening causing bronchospam & drop in BP what do you do for an immediate allergic reaction - correct answer 911 2.Get preloaded Epi syringe in the emergency kit and inject pen in patient's deltoid,tongue, or lateral thigh re-administer Epi pen in 5 minutes ONLY IF SYMPTOMS PERSIST. Chest pain (Angio Pectoris) - correct answer patient has tight , heavy, or constricted chest pain and may clench their fist against their chest What to do when a patient develops Chest Pain - correct answer 1.CALL 911 and position patient so he/she is comfortable and ask if they have nitroglycerin tablets or spray on them. If not, give two sprays of nitroglycerin(vasodilator)onto the patient's tongue. 2. Dental treatment can continue if patient and doctor are comfortable. Note: important ; do not give spray/tablet if the patient has chest pain and feels dizzy (means BP is dropping, or if patient took Viagra within 24hrs. What to do if patient is experiences heart attack after chest pains, patient says they are getting worse, patient has taken 3 doses of nitroglcerin in 5 min intervals and pain continues,or chest pain went away and came back, or patient has no history of heart disease or chest pain.Crushing, intense, radiating pain from chest to the stomach or to the left side of the neck, jaw, left arm, and/or pinkie finger (tingles). Skin turns ashy gray and patient may sweat profusley. - correct answer 1. CALL 911 2. Admin. 50 % nitrous oxide & 50 % oxygen (has same effect as morphine) for pain and delivers more oxygen to the muscles/brain two sprays of nitroglycerin on patient's tongue and have the patient CHEW 1 tablet of adult dose ASPRIN (325mg) EXCEPT if the patient is allergic to asprin, has bleeding disorder,or gastric/peptic ulcer, Asprin prevents clot from getting bigger. What do you do in case of cardiac arrest (uncounscious patient) - correct answer 1. CALL 911 while dentist lays the patient flat in dental chaior with feet elevated.