DLA 1203 Exam 6

1. Emergency
Management
CHAPTER 16

2. Routine Preparedness for Dental Team Members
Rehearse medical emergencies
Establish roles for each employee
Check emergency kit and equipment
Post emergency contact numbers
Post directions to office

3. The Dental Assistant’s Role in an Emergency
Observe patient
Report concerns to dentist
Review medical history
Know emergency plan

4. Dental Office Emergency Kit
 Contents:
Blood pressure kit
Oxygen kit
Sterile syringes
Tracheotomy needle
Latex gloves and mask
Pocket mask
Cold compress
Blanket
Paper bag
Used to treat hyperventilation
Stress-induced
Cupped hands also may be used
Increases carbon dioxide in blood
© Cengage Learning 2013

5. Drugs in Emergency Kit
Epinephrine (adrenaline)
Used for acute allergic reactions
E.g., anaphylactic shock
Uses preloaded syringe
Epi-pen
Classified as vasoconstrictor
Serves as cardiac stimulant
Relaxes bronchioles

6. Drugs in Emergency Kit
Bronchodilator
Albuterol
Inhaler
Improves air flow
Does not stimulate cardiovascular system
Patient exhales
Breathes in while dispensing drug
Repeated
Breathing improves within 15 minutes
If no improvement, call 9-1-1 and give oxygen

7. Drugs in Emergency Kit
Antihistamine
Used for allergic reactions
Edema, erythema, urticaria, angioedema
Counteracts effect of histamine
Benadryl commonly used
Administered by:
Liquid
Injection
Inhaler

8. Drugs in Emergency Kit
Anticonvulsants
Diazepam
Valium
May be given as premed in tablet form to manage
stress
Injection form
Controls seizures

9. Drugs in Emergency Kit
Analgesics
Demerol or Talwin
Administered by injection
Used to manage acute pain or anxiety

10. Drugs in Emergency Kit
Vasopressors
Vasoxyl or Wyamine
Management of hypotension
Increases blood pressure
Administered by injection

11. Drugs in Emergency Kit
Antihypoglycemic
Management of hypoglycemia
Tube of cake icing
Orange juice
Cola syrup
Sugar packets

12. Drugs in Emergency Kit
Nitroglycerin
Management of chest pain
Vasodilator
Route of administration:
Translingual
Sublingual
Transdermal patch

13. Drugs in Emergency Kit
Spirits of ammonia
Ammonia inhalants
Glass tube covered with gauze
Broken under patient’s nose
Used to treat syncope

14. WHICH EMERGENCY DRUG
MAY BE GIVEN TO A PATIENT
EXPERIENCING CHEST PAIN?
Nitroglycerin

15. Cardiopulmonary Resuscitation (CPR)
All dental staff must be certified in CPR
Phone first and phone fast
Certify every two years

16. CABs of CPR
Chest
compressions
Airway
Breathing

17. Foreign Body Airway Obstructions (FBAO)
FBAO during treatment
Dental materials fall into throat
Common problematic materials
Crowns
Cotton rolls
Gauze

18. Treatment of Obstruction in the Conscious Patient
Stop treatment
Sit patient upright
Encourage patient to cough
Perform Heimlich maneuver, if necessary

19. Subdiaphragmatic Thrusts in the Conscious Adult

20. Treatment of Obstruction in the Unconscious Patient
Lay patient on floor
Begin CPR using CAB method
Open mouth after giving breath to search
for object
If airway is still obstructed, continue
CPR

21. Treatment of Unconscious Adult with FBAO

22. WHAT IS THE PROPER ORDER
FOR PERFORMING
CARDIOPULMONARY
RESUSCITATION?
Chest compressions, airway,
breathing