By Lellis C., Muller S.
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If the patient collapses and loses consciousness attempt standard resuscitation measures. For an algorithm of the procedure for cardiopulmonary resuscitation, see inside back cover. Epileptic seizures Patients with epilepsy must continue with their normal dosage of anticonvulsant drugs when attending for dental treatment. It is not uncommon for epileptic patients not to volunteer the information that they are epileptic but there should be little difficulty in recognising a tonic-clonic (grand mal) seizure.
The pain of myocardial infarction is similar to that of angina but generally more severe and more prolonged. For general advice see also Coronary Artery Disease on p. 24 Management Symptoms and signs of myocardial infarction First-line treatment includes securing the airway, restoration of blood pressure (laying the patient flat and raising the feet, or in the recovery position if unconscious or nauseous and at risk of vomiting), and administration of adrenaline (epinephrine) injection. 3 mL adrenaline injection 1 in 1000) is available for immediate self-administration.
This has led to the use of a portable syringe driver to give a continuous subcutaneous infusion, which can provide good control of symptoms with little discomfort or inconvenience to the patient. Dysphagia A corticosteroid such as dexamethasone 8 mg daily may help, temporarily, if there is an obstruction due to tumour. See also under Dry Mouth. Nausea and vomiting Nausea and vomiting are common in patients with advanced cancer. Ideally, the Syringe driver rate settings Staff using syringe drivers should be adequately trained and different rate settings should be clearly identified and differentiated; incorrect use of syringe drivers is a common cause of drug errors.