E5: DENTAL EMERGENCY DRUGS

Question 1

What is the other name for Level 1 emergency drugs?

Answer 1

Basic Critical Drugs

Question 2

What are the 11 Level 1 emergency DRUGS (not categories)?

Answer 2

1.Epinephrine2.Di-Phen-Hydr-amine (benadryl) 3.Chlor-Phen-ira-mine (Chlor-Tri-Me-Ton) 4.Oxygen 5.Nitroglycerine 6. Albuterol 7.Orange Juice 8.Cake Icing in Tube 9.Regular soft drinks 10.Glucose 11.chewable Aspirin

Question 3

Level 1: What is the concentration of epi in the epi pen?

Answer 3

1:1000

Question 4

Level 1: What are the 2 indications for endogenous catecholamine?

Answer 4

1. Respiratory Distress 2.Anaphylaxis

Question 5

Level 1: What are the two histamine blockers?

Answer 5

1.Di-phen-hydr-amine (benadryl) 2.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)

Question 6

Level 1: What are the 3 indications for using a histamine blocker?

Answer 6

1.Allergic Reactions 2.AngioEdema 3.Anaphylaxis

Question 7

Level 1: What are the 3 Level 1 drugs I would use for anaphylaxis?

Answer 7

1.Epi 2.Di-phen-hydr-amine (benadryl) 3.Chlor-phen-ir-amine (Chlor-Tri-Me-Ton)

Question 8

Level 1: What is the indication for oxygen?

Answer 8

Respiratory distress

Question 9

Level 1: What are the 3 indications for nitroglycerine?

Answer 9

1.Prophylaxis of angina 2.management of angina 3.treatment of angina

Question 10

Level 1: Albuterol-Used for relief of _________ in patients with ______

Answer 10

bronchospasm…. COPD

Question 11

Level 1: Anti-Hypoglygemic drugs are used for hypoglycemia in a _______ patient

Answer 11

conscious

Question 12

Level 1: What is the indication for chewable aspirin?

Answer 12

pre-hospital admission for MI

Question 13

What are the 12 Level 2 drugs?

Answer 13

1.Aromatic Ammonia 2.Spirits of Ammonia 3.Di-phen-hydr-amine 4.Diazepam 5.Morphine Sulfate 6.Es-mo-LOL 7.Lab-eta-LOL 8.Glucagon HCl 9.50% Dextrose 10.HydroCortisone Sodium Succinate 11.Meth-Ox-Amine 12.AtroPine

Question 14

What are the 9 Level 3 drugs?

Answer 14

1.Sodium Bicarbonate 2.Morphine Sulfate 3.Lidocaine 4.Bret-yl-ium Tos-ylate 5.Pro-cain-amide 6.VeraPamil 7.Atropine 8.Calcium Chloride 9.Epinephrine

Question 15

What are the 3 Level 4 Drugs?

Answer 15

1.Flum-az-enil 2.Nal-Ox-One 3.Nal-Trex-One

Question 16

Level 2: What is the indication for ammonia?

Answer 16

fainting! (NOT respiratory depression from opioids)

Question 17

Level 2: What are the 2 indications for histamine blockers?

Answer 17

1.MILD allergic rxn 2.AngioEdema

Question 18

Level 2: What is the indication for an analgesic like MORPHINE sulfate?

Answer 18

pain/anxiety with an MI

Question 19

Level 2: What is the indication for diazepam?

Answer 19

Status Epilepticus and severe recurrent convulsive seizures

Question 20

Level 2: What are the 2 indications for es-mo-lol and lab-et- a-lol?

Answer 20

1.HTN 2.Tachycardia

Question 21

Level 2: What is the indication for glucagon HCl?

Answer 21

severe hypoglycemic reactions

Question 22

Level 2: What are the 3 indications for glucocorticoid?

Answer 22

1.adrinocortial insuffiencey 2. shock 3.severe allergic rxn

Question 23

Level 2: What is the indication for METHoxAmine?

Answer 23

Maintain BP

Question 24

Level 2: What drug do I use here? used to restore heart rate and arterial pressure when vagal stimulation causes sudden decrease in pulse rate and cardiac action; lessen degree of AV heart block; overcome severe bradycardia and syncope due to hyperactive carotid sinus reflex

Answer 24

Atropine

Question 25

Level 3: What is the drug of choice for suppression of ventricular tachycardia and ventricular fibrillation?

Answer 25

Lidocaine

Question 26

Level 3: acute management of ventricular dysrhythmias, especially those related to MI

Answer 26

Lidocaine

Question 27

Level 3: treatment of life-threatening ventricular dysrhythmias that have not responded to adequate doses of first line agents (e.g. lidocaine)

Answer 27

Bret-y-lol

Question 28

Level 3: used in suppressing premature ventricular complexes (PVCs) and recurrent ventricular tachycardia that cannot be controlled by lidocaine

Answer 28

Pro-cain-amide

Question 29

Level 3: management of supraventricular tachycardia that does not require cardioversion

Answer 29

Varapamil

Question 30

Level 3: treatment of acute hyperkalemia, hypocalcemia or calcium channel blocker toxicity

Answer 30

Calcium Chloride

Question 31

Level 3: How much Epi do we use for IV or endotracheally treatment of cardiac arrest?

Answer 31

1:10,000 for IV or endotracheally – treatment of cardiac arrest

Question 32

Level 4: reversal of conscious sedation or general anesthesia which has been induced or maintained with benzodiazepines

Answer 32

FLUM-AZ-EN-IL

Question 33

Level 4: reversal of opioid depression (respiratory depression)

Answer 33

Naloxone

Question 34

How much nitroglycerine do i give? (in mg)

Answer 34

0.15-0.6mg

Question 35

How much chewable aspirin do I give? (in mg)

Answer 35

81 mg

Question 36

How much Epi do i give? (mL)

Answer 36

0.2-1.0mL of 1:1,000

Question 37

Whats the max dose of DiPhenHyrdaMine daily? (mg)

Answer 37

400mg

Question 38

Whats the max ChlorPhrnIraMine daily? (mg)

Answer 38

40mg

Question 39

Whats the typical dose of atropine (mg) and whats the max dose?

Answer 39

typical: 0.4-1.0mg...max:2mg

Question 40

How much morphine in a dose? (mg)

Answer 40

2-5mg

Question 41

Whats the max dose of diazepam? (mg)

Answer 41

20mg

Question 42

What is the solution dose for esmolol? (mg/mL)

Answer 42

10mg/mL

Question 43

What is the dose of 50% Dextrose? (mL)

Answer 43

20-50mL (10mL/min, so 2-5 min)

Question 44

What is the dose for Glucagon? (mg)

Answer 44

1mg

Question 45

What is the starting dose of Hydrocortisone? (mg)

Answer 45

100 mg

Question 46

What is the dose for MethoxAmine? (mg)

Answer 46

10-15mg