Surgery

EMQ/EMI Theme: Emergencies in the Dental Chair A - Adrenaline 1:1000 (1 mg/ml) B - Adrenaline 1:10 000 (1 mg/10 ml) C - Aspirin oral D - Chlorpheniramine E - Diazepam F - Glucagon G - Glucose H - Glyceryl trinitrate spray I - Hydrocortisone (IV) J - Oxygen K - Salbutamol For each of the following scenarios, the most appropriate management option from the list above are all EXCEPT. 1 Following oral administration of a 3 g sachet of amoxicillin, a 20-yearold woman reports shortness of breath and the development of a red rash over her body. 2 A 20-year-old man in your dental surgery waiting room is shaking involuntarily, frothing at the mouth and showing signs of incontinence. 3 A 57-year-old woman with type 1 diabetes collapses in the dental chair and a dipstick shows low blood glucose. 4 While being treated, a 60-year-old man complains of severe central crushing chest pain which radiates down the left arm and nausea. The pain does not respond to glyceryl trinitrate spray and oxygen. 5 A 30-year-old known asthmatic patient has just been told that she has to lose several of her teeth. She begins to wheeze and is short of breath.