Читать книгу Questions and Answers for Dental Nurses - Carole Hollins - Страница 11

For each of the following medical emergency questions, select the single most appropriate answer from the option list. Each option might be used once, more than once or not at all.

1 Adrenaline

2 AED

3 Aspirin

4 Blood glucose monitor

5 Glucagon

6 Glucogel

7 Glyceryl trinitrate

8 Midazolam buccal

9 Needle and syringe

10 OP airway

11 Oxygen

12 Pocket face mask

13 Portable suction device

14 Pulse oximeter

15 Salbutamol

16 Sphygmomanometer

1 A collapsed patient is found in the waiting room of the dental practice by a staff member, and the alarm is raised. On checking the patient’s airway, the dentist discovers the casualty’s mouth contains vomit. Which one of the options listed is the item most likely to be required to immediately aid the casualty?

The correct answer is m).As the patient is located in the waiting area the mains operated surgery suction unit cannot be utilised to clear the vomit. A portable suction device is emergency equipment that should be held by all dental workplaces and is best kept with the emergency drugs kit in a centralised area of the workplace, with appropriate signage displayed for easy location.

1 Following a scale and polish procedure, a patient begins to feel unwell and complains of pains in his chest and arm. On checking his medical history record on the computer, he is found to suffer from angina and is given oxygen using a pocket face mask system. Which one of the options listed is the other item most likely to be required to assist the casualty?

The correct answer is g).Glyceryl trinitrate (GTN) spray should be held in the emergency drugs kit and should be administered to any patient suspected of having an angina attack. Patients usually carry their own supply, but that of the workplace will be in date, a full container and easily located so is best used in an emergency situation. It is sprayed under the casualty’s tongue where the thin mucous membrane allows the active drug to be rapidly absorbed into the blood stream and carried to the heart. The spray can be administered several times to ease the angina symptoms, but repeat applications may indicate the casualty is veering towards a cardiac arrest.

1 A known epileptic patient has attended the practice for dental treatment but becomes unwell while having radiographs taken. The staff believe the audible alarm of the machine has triggered a seizure, and the patient continues fitting for more than 5 minutes. Which one of the options listed is the item most likely to be required to assist the casualty?

The correct answer is h).A prolonged seizure (5 minutes plus) or repeat seizures occurring without the casualty regaining consciousness indicate status epilepticus – a very serious medical emergency that requires professional support for the dental team. While awaiting paramedics, midazolam buccal gel should be administered into the buccal sulcus of the casualty by the rescuer, where it will be rapidly absorbed into the blood stream. Use the buccal sulcus closest to the floor (with the casualty lying on their side) so that the gel does not trickle into their oropharynx and cause choking.