THE DENTAL CLINIC EMERGENCY KIT NEED NOT BE COMPLICATED,IT OUGHT TO REMAIN AS SIMPLE AS POSSIBLE
ANTI-ALLERGIC–Epinephrine–in anaphylaxis,acute asthma–1:1000conc–0.3mg subcutaneously
ANTIHISTAMINIC–Benadryl–Allergic reaction–10mg/mlconc–50mg–50mg iv or im
ANTICONVULSANT–Diazepam–Prolonged seizure—-5-10mg im or iv
OXYGEN–Respiratory distress–100%inhalation
VASODILATOR–Nitroglycerin–Acute angina pectoris–0.4mg/sprayconc–0.4mg sublingually
STIMULANT–Aromatic ammonia–Syncope–Inhalant 0.3ml as inhalation
ANTIHYPOGLYCEMIC AGENT–Glucose–hypoglycaemia–few tsps orally
ANALGESIC–Morphine–Myocardial infarct–10mg/ml–10mg orally
TO REMEMBER:::
Drugs are not necessary for proper management of all dental emergencies
Primary management is by basic life support
When doubtful,never medicate
ideal route for medication is IV as the onset of actionis rapid and its effect is most reliable by this route
also in most emergencies patient may not be in a state to take in medication orally
Emergency drugs may be administered IM into sites like mid-deltoid region or upper0outer quadrant of gluteal muscle
Mid-deltoid region provides the most rapid uptake of medicines
REMEMBER in absence of effective circulation IV/IM administration wont be effective and here implementation of ABC s of basic life support should take precedence
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