1.MAKE THE PATIENT TO LIE DOWN IN A SUPINE POSITION
WITH LEGS RAISED(INCRESED VR)
2.LOWER THE BACK OF DENTAL CHAIR IMMEDIATELY,SO THAT THE HEAD
OF THE PATIENT IA AT A LOWER LEVEL THAN THE FEET.
3.TIGHT CLOTHING SHOULD BE LOOSENED
4.MAINTAIN A PATENT AIRWAY
5.ANY FOREIGN BODY,MUCUS OR EXCESSIVE SALIVA SHOULD BE REMOVED
MANUALLY OR WITH SUCTION
6.INHALATION OF AROMATIC SPIRIT OF AMMONIA OR APPLICATION OF COLD
7. SPONGED TO THE FACE HELPS IN SECURING REFLEX STIMULATION
8.CARRY OUT ALL THE ABOVE STEPS IMMEDIATELY
PREVENTION OF SYNCOPE
PREVENTION IS THE BEST TREATMENT FOR EMERGENCY.
CAREFUL HISTORY TAKING
,CONSTANT VIGIL TO OBSERVE ANY EARLY SIGNS OF DEVELOPING COMPLICATIONS,PROPER PRE OPERATIVE PREPARATION,QUICK TO REACT IF OCCURS
CARRYOUT DENTAL PROCEDURES IN SUPINE OR SEMI RECLINING POSITION
ALLAY FEAR AND ANXIETY,EXPLAIN THE PROCEDURE TO THE PATIENT
MAKE SURE PATIENT IS NEITHER FASTING NOR FULL STOMACH.
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Ya we all know that there is young's rule and clark's rule but we get often confused with our day today practice.so why not refresh your memory.
YOUNG'S RULE:
Child dose = Age of child/Age of child+12*Adult dose.
CLARK'S RULE:
Child dose = Weight of the child(lb)/150*Adult dose.
that's it now you can calculate according to different child groups.
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SYNCOPE (in GREEK SYNCOPE=CUT OFF)
A transient loss of consciousness due to inadequate cerebral blood flow, with spontaneous recovery.
Also called blackout ,spell, faint, collapse.
PRE SYNCOPE
Sensation of impending loss of consciousness without progressing to loss of consciousness, but may progress to loss of consciousness.
PREDISPOSING FACTORS for syncope
Anxiety,fear,pain,exhaustion
Fasting,hot environment,lack of proper sleep
Poor health status
Most commonly provoked in standing position.
PRECIPITATING FACTORS for syncope
Cerebral anorexia
anemia
Prolonged attentive standing
consumption of alchohol.
spinal anesthesia.
Supine position in late pregnancy.
HYPO TENSION- CEREBRAL ISCHEMIA.
CLINICAL FEATURES OF SYNCOPE
Weakness
nausea
vomitting
Pain in epigastrium
hunger
Sweating
dizziness
pallor
light headedness
dilatation of pupil
low pulse pressure leading to Unconsciousness with ash Grey color skin
shallow respiration,weak pulse,low BP
Patient falls down,voluntary musculature is relaxed,clonic jerks of arms,twitching of facial muscles.
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