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Title: Medical Emergencies Summary
Description: Notes on medicla emergencies from Levisons textbook
Description: Notes on medicla emergencies from Levisons textbook
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Levisons Dental Nursing Medical
Emergencies Summary
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Por wound
healing & more prone to infection
Allergies- Latex, penicillin etc
Medications Reacting with Anaesthetic- Antidepressants, thyroxine etc
Medication Causing Hypertension- Contraceptives, HRT
Long term- Steroidal Treatment: Suppresses production of hormones, stress
results in shock and fatal drop in blood pressure
Begin BLS- Patient unconscious or abnormal breathing
Signs of Abnormality- Increased respiration/ heart rate or falling blood
pressure
ABCDE Approach- Aim is to maintain O2 levels:
Airway
Breathing
Circulation
Disability
Exposure
If patient unconscious- DRSABC:
DANGER
RESPONSE (ACVPU)
SHOUT FOR HELP
AIRWAY
BREATHING
CIRCULATION
Rescue Breaths- 30 Compressions: 2 breaths ratio
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1mg
Adrenaline
1:1000
O2 Facemask
Inhaler
Asthma
O2 (EMER)
Intra
...
4mg
Aspirin 300mg
Oral
Hypoglycaemia
Intra
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Asthma: Airways becoming increasingly narrow, attack occurs in stress or fear
Signs- Wheezing, cyanosis
Sympt- Difficulty breathing
Treatment- Salbut
...
Use gel if trained
Hypoglycaemia/ Diabetic Coma: Diabetics not eating or following insulin taking
schedule
Signs- Shaking, cold skin, irritated, slurred speech
Treatment:
Glucogel if conscious
Glucagon if unsconscious
Maintain airway and give O2
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Angina: Those with Coronary Heart Disease, narrowing of blood vessels due to
cholesterol or blood clot
Signs- Facial expression, clutching chest/left arm, abnormal pulse, weak
breathing
Sympt- Chest pain in left arm/ jaw, nausea
Treatment- GTN Spray, O2, maintain airway/ upright body position, call 999 if
no recovery/ loss of consciousness
Myocardial Infarction: Those with heart disease history, drug regime
unscheduled, or caused by anxiety or stress
Signs- Chest clutching, possible collapse, appears grey
Sympt-GTN Spray no relief
Treatment- Aspirin tablet, O2, upright body position, maintain airway
Stroke (Cerebral Infarction (Embolism)/ Haemorrhage):
Signs- Loss of feeling on one side of face/limbs or body, unable to speak
properly
Sympt- Numbness of affected area, headache
Treatment- FAST Approach:
Facial Weakness
Arm Weakness
Speech Problems
Test
Adrenal Crisis: Lack of steroids, results in fatal fall of blood pressure
Signs- Hypotension, fast heart rate, pale vomiting
Sympt- Nausea, abdominal pain, feels weak
Treatment- Dial 999, upright body position, O2, BLS
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Title: Medical Emergencies Summary
Description: Notes on medicla emergencies from Levisons textbook
Description: Notes on medicla emergencies from Levisons textbook