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Discriptive knowledge of receivable management

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POST OPERATIVE EMERGENCY MANAGEMENT IN PERIODONTICS • The most significant complication or emergency occur in PERIODONTAL THERAPY are • 1. SHOCK, SYNCOPE • 2. HEMORRHAGE • 3. PAIN • 4. SWELLING, HEMATOMA • 5. DELAYED HEALING • 6. ALLERGIC REACTIONS TO DRESSING • 7. SENSITIVITY OF THE TEETH SHOCK :- The most serious of all complication is anaphylactic shock to an administride drug. - it is life threatening state, which require immediate attention. CLINICAL MANIFESTATIONS:• - It usually develops with in about one half hour following administration of drug. - The patient feels uneasy, difficulty in breathing, nausea, becomes pall, then cynotic, perspiry heavily and collapse. - The blood pressure becomes very low and the pulse flast and weak or it may be felt at all. Respiration becomes asthmatic. MANAGEMENT:- The assistant should be introduced to call emergency service whenever it is suspected that the patient is going into shock. - Place the patient in trendelen burg´s position, clear the air passages and administer oxygen. - If the blood pressure is very low, give 0.5 ml. epinephrine (1:1000 injectable form) intramuscularly, preferably in the tongue muscles. - It may be given in any large muscle. - Do not inject epinephrine subcutaneouly, that may, it is absorbed very slowly. - If the patient`s heart has stopped completely, emergency external heart massage should be introduced, if the breathing has also stopped, artificial respiration should be give ...
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