Drugs Of Em Kit

Front 1

Epinephrine (EpiPen)

Back 1

INDICATIONS: anaphylaxis, severe asthma/acute asthma attack (when didn't respond to albuterol).

FORM: Pins/injections

DOSAGE: 0.3mg or 0.3-0.5mL of 1:1000 solution (usually administered IM-pens will penetrate thin clothing. Often placed in leg). Can be repeated if symptoms persist (drug-rapid onset, short duration).

FUNCTION: reduces risk of hypotension, bronchospasm, laryngeal edema and prevents further release of histamine/other chem mediators.

CONTRAINDICATIONS: pts w/ ischemic heart disease or severe hypertension. (should be administered to pts with heart problems if situation is life threatening)

Front 2

Nitroglycerin

Back 2

INDICATIONS: acute angina pectoris (PRIMARY USE), MI or congestive heart failure.

FUNCTION: Dialates coronary blood vessels to provide extra oxygen to heart.

FORM: tablets or spray (ck shelf life of tablets-12weeks).

DIRECTIONS: administer spray sublingually. Dose can be repeated in 5 min, up to 3 times in 15 min

CONTRAINDICATIONS: If bp falls below 90mmHg.

***IF PATIENT IS TAKING THIS (regularly) THEY MUST HAVE IT ON THE COUNTER DURING TREATMENT***

Front 3

Histamine Blockers

Back 3

TYPE: Diphenhydramine (Benedryl)

INDICATIONS: non-life threatening allergic RX (hives, slight inflammation, tightness that doesn't worsen or persist)

DOSAGE:50mg/1mL ampule. Injectable IM or IV or orally 25-50mg

***ONLY GIVE IF THE DDS INSTRUCTS YOU TO***

Front 4

Albuterol

Back 4

INDICATIONS: asthma attack or bronchospasm.

FUNCTION: Bronchodilator (minimal cardiovascular effects-preferred drug for bronchospasm).

WHY PREFERRED: min. cardiac effects, quick onset (30-60mins) and long duration (4-6hrs)

FORM: Inhaled aerosol

DOSE: Adult-2-3 sprays

**PT MUST PUT INHALER ON COUNTER DURING TREATMENT**
*If pt is able--let them administer it themselves (used to it and can likely do it faster and more effectively)

Front 5

Aspirin

Back 5

INDICATIONS: pain suggestive of MI.

FUNCTION: Reduces overall mortality from MI

DOSE: 162mg (2 baby aspirin).

CONTRAINDICATIONS: Pt allergy-consult med history.

****WE DON'T KEEP IN OUR EMERGENCY KIT DUE TO RISK OF ALLERGIC RXN. SOME OFFICES WILL CARRY IT, OTHERS WILL NOT****

Front 6

Glucose (Oral carbohydrate)

Back 6

INDICATION: Hypoglycemia

FUNCTION: raises blood sugar levels.

FORM: Tubes of frosting-administer in the vestibule if pt. unconscious. Juice-give to conscious pt (extra juice boxes in Mrs. D's office) Hard candy or any snacks pt brings will work too.

Front 7

Injectable Benzodiazepine (Lorazepam)

Back 7

INDICATIONS: prolonged, recurrent seizures or hyperventilation. FUNCTION: anticonvulsant and skeletal muscle relaxant.

FORM: Injection

WHY LORAZEPAM: can be administered intramuscularly.

DOSE: 4mg IM

Front 8

Glucagon

Back 8

INDICATIONS: unconscious hypoglycemic pt.

FORM: Injection

FUNCTION: raise blood sugar levels DOSE: 1mg IM, pt. weighing less than 20kg (44lbs)-0.5mg

Front 9

Atropine

Back 9

INDICATIONS: Hypotension and bradycardia.

FUNCTION: Increase heart rate-hopefully increase pt's low bp. FORM: Injection.

DOSE: 0.5mg/ml IM (can administer additional to max of 3mg)

Front 10

Corticosteroid

Back 10

INDICATIONS: prevention of recurrence of anaphylactic rxn and mgt of adrenal crisis.

FUNCTION: reduce histamine release.

DRAWBACK: slow onset (+1hr)-not essential in emergency kit.

CORTICOSTEROID OF CHOICE: Hydrocortisone.

DOSE: 100mg

Front 11

AED

Back 11

Automated External Defibrilator

Front 12

Aromatic Ammonia

Back 12

-Respiratory Stimulant
-Crush and place under pt's nose until resp. stimulation is affected
-Noxious odor and irritates the mucouds membrane of upper resp tract stimulating the resp and vasomotor centers of the medulla
***Use in syncope situations (try shaking pt. and trying to way them up first***

Front 13

Where is the Emergency oxygen and what else is attached to the system?

Back 13

-Portable and located outside the dispensary in a green tank
-there is an adult mask and a child mask
-We have both demand flow (emergency situation) and
-flow meter--for pts having trouble breathing (in same system as nitrous)

Front 14

What's an AED? Where is it located? How do we use it?

Back 14

-Automate External Defibrillator
-In Pt. waiting area mounted on wall
-Remove from case, attach pads to pt's BARE chest and follow prompts.

Front 15

What rules are in place to try to avoid emergencies in the dental materials lab?

Back 15

1. Neat hairstyle worn up off of the collar secured and away from the face.
2. NO jewelery/ Abide by CCD jewelry protocol
3. Wear protective eyewear
4. Use protective face mask and glove anytime there is a potential for contact with pathogenic microorganisms. Use protective face masks when there is the potential for vapors and/or airborne particles of material present.

Front 16

What procedures must be followed if there is an emergency in the dental materials lab?

Back 16

-Notify the nearest person to contact a faculty member
-Assess the situation and render aid as needed until assistance arrives
-The faculty will analyze the situation and determine if additional support is needed. Faculty will request to call 911. If further assistance is necessary, the following contacts should be made in this order:
 
-Call 911 and follow previous -protocol for relaying information
-Call Lowry Campus Security 9-303-419-5557
Report emergency to the Program Chair 303-365-8334