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Flashcards in Communication and medical emergency Deck (26)
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1

what does SBAR stand for?

Situation
Background
Assessment
Recommendations

2

adrenal insufficiency management... 3 things

1. lay flat
2. give oxygen
3. transfer to hospital

3

who is at risk of adrenal insufficiency?

patients who have been on long term corticosteroid therapy

4

what do you say in situation? 4 things

- who you are
- where you're calling from
- identify patient
- reason for calling other healthcare professional

5

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

6

what do you say in assessment?

- what you think is happening
- how urgently you think they need to be seen
- vital signs

7

what do you say in recommendations?

- explain what you need from other healthcare professional
- make suggestions
- clarify expectations

8

which patients would you give adrenaline to?

those in anaphylactic shock

9

for an adult, what is the mL of adrenaline?

0.5mL (500mg)

10

for a child

0.15mL (150mg)

11

for a child between 6-12 what mL of adrenaline would you give?

0.3mL (300mg)

12

define anaphylaxis

a severe allergic reactions following exposure to an allergen ( commonly a drug in the dental environment )

13

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
- pallor
- cardiac arrest

14

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

15

how is adrenaline administered?

intramuscularly

16

how often can you repeat the dose of adrenaline?

every 5 mins if not working

17

how many puffs of a short acting beta2 agonist does it take for most asthma sufferers to respond with?

2

18

what are the 3 types of asthma attack?

- moderate acute asthma
- severe acute asthma
- life threatening asthma

19

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

20

how many breaths per minute is worrying?

around 25/min

21

how long would you monitor a patient who had moderate acute asthma attack?

15-30 mins

22

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

23

what is the difference between angina attack and myocardial infarction symptoms?

they are much the same except MI symptoms more severe

24

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
- breathlessness
- weak pulse and drop in blood pressure

25

steps in managing someone who's having an MI

- call ambulance
- allow patient to get into a comfortable position
- oxygen
- sublingual GTN for pain relief
- reasssure
- asprin 300mg (single dose)

26

what advice should you give to an epileptic patient before attending a dental treatment?

to continue on the same dose of anti-convulsant