Flashcards in Communication and medical emergency Deck (26)
what does SBAR stand for?
adrenal insufficiency management... 3 things
1. lay flat
2. give oxygen
3. transfer to hospital
who is at risk of adrenal insufficiency?
patients who have been on long term corticosteroid therapy
what do you say in situation? 4 things
- who you are
- where you're calling from
- identify patient
- reason for calling other healthcare professional
what do you say in background? 3 things
- the patients reasons for attending dental appointment
- significant PMH, drug, social, family
- history of progression of concern during your care
what do you say in assessment?
- what you think is happening
- how urgently you think they need to be seen
- vital signs
what do you say in recommendations?
- explain what you need from other healthcare professional
- make suggestions
- clarify expectations
which patients would you give adrenaline to?
those in anaphylactic shock
for an adult, what is the mL of adrenaline?
for a child
for a child between 6-12 what mL of adrenaline would you give?
a severe allergic reactions following exposure to an allergen ( commonly a drug in the dental environment )
what are 8 signs and symptoms of anaphylaxis?
- parasthesia (pins and needles)
- flushing and swelling of the face
- itching (esp feet and hands)
- bronchospasm and laryngospasm
- rapid, weak pulse
- fall in blood pressure
- cardiac arrest
what are the 4 steps of management in a patient who is in anaphylaxis?
1. lay flat and raise feet (put in recovery position if unconscious)
2. administer adrenaline
3. administer oxygen
4. transport to hospital
how is adrenaline administered?
how often can you repeat the dose of adrenaline?
every 5 mins if not working
how many puffs of a short acting beta2 agonist does it take for most asthma sufferers to respond with?
what are the 3 types of asthma attack?
- moderate acute asthma
- severe acute asthma
- life threatening asthma
what is the easiest way to distinguish between the 3?
moderate = able to talk
severe = unable to complete sentences in one breath
life threatening = silent chest
how many breaths per minute is worrying?
how long would you monitor a patient who had moderate acute asthma attack?
true or false : you must always send someone who has had an angina attack to hospital?
false. they may have their own GTN sray or isosorbide denigrate tablets and make a full recovery
what is the difference between angina attack and myocardial infarction symptoms?
they are much the same except MI symptoms more severe
what are the 6 signs and symptoms of a myocardial infarction
- progressive onset of central crushing chest pain
- may radiate down one arm, shoulder, neck or jaw
- skin is pale and clammy
- nausea and vomiting
- weak pulse and drop in blood pressure
steps in managing someone who's having an MI
- call ambulance
- allow patient to get into a comfortable position
- sublingual GTN for pain relief
- asprin 300mg (single dose)