Med Emerg Q1: Good to Knows JULIA

Most common emergencies

1. syncope

2. mild allergic reaction

3. angina pectoris

4. orthostatic hypotension

medical emergencies are most likely to occur after

1. administration of local anesthetic

2. extraction

3. endodontics

person 1's

student in whose operatory emergency is occuring

person 1's job

1. stays with patient at all times

2. calls out for help from nearby students

3. performs emergency procedures

person 2

next "most available" person

person 2s job

1. goes to get emergency drug kit, 02 takes and AED

2. starts stopwatch

3. calls out for nearby student to call 4444 (911)

4. ASSISTS P1 (responsible for taking vital signs, application of O2)

5. records events and informs P1 of time elapsed since medication delivered

Person 3

next available person

person 3s job

calls 4444 (9111) then inform Mrs. Liz across the hall then wait outside HS building to assist in directing EMS team to the emergency

what are the essential drugs

1. oxygen

2. epinephrine

3. nitroglucerin

4. diphenhydramine or chlorpheniramine

5. albuterol

6. aspirin

7. oral carbohydrate

oxygen is used for all emergencies except

hyperventilation

epinephrine is used for

anaphylaxis & severe asthma attack

severe asthma attack should not use with _________ or __________

ischemic heart disease or severe hypertension

nitroglycerin is used for

angina pectoris (chest pain), myocardial infarction or congestive heart failure

what forms does nitroglycerin come in?

tablets and spray form

3

tablets of nitroglycerin are administered sublingually and you will administer in 5 mintues intervals up to _____ doses

diphenhydramine or chlorpheniramine is used for

moderate allergic reaction with respiratory symptoms

albuterol is used for

asthma attack or bronchospasm

aspirin is used for

preventative progression of cardiac ischemia to cardiac injury or cardiac tissue death

aspirin recommended dose

2 to 4 baby aspirin

oral carbohydrate is used for

hypoglycemia

breaths as needed for adults

1 breath every 5 seconds

what is the depth that you press down on the chest

1/3

correct compression landmarks for CPR

lower 1/2 of the sternum avoiding the xiphoid process

radial pulse is where?

where the wrist is

the initial pulse sensation is counted as

zero

tachypnea

Fast rate >20

bradypnea

slow rate <12

apnea

absence of breathing

dyspnea

labored breathing, requires excessive effort usually require oxygenation

if you have a BP cuff if its to large you'll have a ________ reading

lower

if you have a BP cuff that is to small you'll have a _________ reading

higher