WREB Local Anesthesia questions well answered rated A+

WREB Local AnesthesiaWhat happens in a anaphylactic reaction - correct answer life-threatening causing bronchospasm & 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 nitroglycerin 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 profusely. - 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 aspirin, has bleeding disorder, or gastric/peptic ulcer, Aspirin 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. 2.Dentist checks airway via head/chin lift and checks for breathing and carotid pulse (in groove under the and to the side of the Adam's apple) 3. Dentist gives CPR (15 chest compressions for every 2 breaths) 15:2 ratio What do you do when a patient exhibits diabetic shock (hypoglycemia = low blod sugar)- mental confusion, patient feels cold, sweaty, and shakey. - correct answer 1. before tx ask patient when did they take their insulin and eat last. if not recent, give patient 1/2 cup orange juice or non-diet soda wait 5 minutes, then give another 1/2 cup. After 5 minutes, give last 1/2 cup within 15 minutes sign should subside Unconscious Diabetic: 911 lay patient flat feet raised, check airway (head/chin lift), check breathing (look,listen,feel) and check carotid pulse. DO CPR if not breathing/pulse) (15 compression for every 2 breaths) 15:2 2. DO NOT ADMINISTER DRUGS! Syncope (fainting) - correct answer can occur with emotional distress (nervous. Occurs when there is temporary decress in bloodflow to the brain dure to the sudden drop in BP,HR,of blood volume change. Can happen with anyone, but patient usually has an underlying medical condition like anemeia or heart disease. What do you do if a patient has signs that they may faint : light headed, nausea, heart palpatation - correct answer 1. lay pt in dental chair with legs elevated 2. place cold, wet towel over their forehead 3. Adim oxygen and aromatic ammmonia held under patients nose to stimulate bllod flow to the brain via movement. Why are inhaled ammonia used in syncope How do you administer it Do you administer oxygen - correct answer Irratates trigeminal nerve sensory endings to cause a reflex stimulation of the medullary respiratory and vasomotor centers. An aromatic ammonia vaporole is crushed between the fingers and held near the patients nose. Administation of oxygen help prevents tissue anoxia