Notes summary for Medical Emergencies in the Levisons text book for Dental Nursing, including types of emergencies, drugs, treating emergencies and BLS brief (Basic Life Support)
Medical Emergencies
Heart Conditions- Abnormality of the heart
Hypertension- High blood pressure
Liver/Kidney Disorders- Liver/ kidney not functioning due to disease
Diabetes- Failure to take medication> Hypoglycaemia attack. 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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