Wednesday 19 November 2014

EMERGENCY DRUG IN DENTISTRY




                 EMERGENCY DRUGS IN DENTISTRY                                                                       
           DRUG 
              ROUTE  ADMINISTRATION                                                      
           INDICATION
 
   ADRENALINE
    1mg/ml

 500mg microgram I.M. may be repeated at
 5min interval according to B.P.,                pulse, respiratory  function.

      
          Anaphylaxis
ASPIRIN (300mg)
    300mg orally or chewed
Suspected heart attack

GLYCERYL TRINITRATE (400mg)
        
1 – 2 actuations sublingually
no more than three doses are recommended at any one time

Angina or suspected heart attack

   Glucose

10-20g of short acting carbohydrate oral e.g. glass of lucozade
or fruit juice, 3 or more glucose tablets, or 5 sweets

Hypoglycaemia
(co-operative, conscious &
able to swallow safely


Glucagon 1mg
                        
                                    1 mg I.M.

Hypoglycaemia
(impaired consciousness, uncooperative
or unable to swallow)

Salbutamol Inhaler
(100 micrograms/dose)
 
               1 - 2 actuations inhaled
                  Repeated if required

      Asthma attack

Midazolam 10mg

                        10 mg buccal

Prolonged seizures (convulsive
movements lasting 5 minutes or longer)
Seizures recurring in quick succession









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