experience this may tell you they feel weak and dizzy while getting out of the dental chair after a procedure. If a patient is still conscious, have him sit back in the dental chair and place him in the Trendelenburg’s position (fig. 9-5). Place the patient in a position slightly lower than supine with feet elevated slightly above the head.

Signs and Symptoms

Weakness, dizziness, black spots in vision

Pale face, blue lips

Cold perspiration

Rapid, weak pulse

Shallow breathing

Treatment

Activate clinic's emergency response team if deemed needed by the dental officer

Lay victim down

Elevate feet (Trendelenburg style)

Loosen tight clothing

Maintain an open airway

Use an ammonia ampule

ANAPHYLACTIC SHOCK

Anaphylactic shock is the result of a severe allergic reaction. It is a life-threatening emergency and usually occurs within seconds after the victim is exposed.

Signs and Symptoms

Itching and burning of the skin with flushing

Cyanosis around the lips

Swelling of the face and tongue

Paleness

Swelling of the blood vessels just underneath the skin

Weak, rapid pulse

Low blood pressure

Dizziness

Restlessness

Painful, squeezing sensation in the chest

Difficulty breathing

Respiratory wheezing

Nausea, vomiting

Abdominal cramps

Diarrhea

Treatment

Activate clinic's emergency response team. Provide treatment according to BLS procedures (including CPR).

HYPOGLYCEMIA

Hypoglycemia is caused by low blood sugar in the body. Anyone can be affected by hypoglycemia. It can occur if a victim has not eaten for a long period of time,

Figure 9-5. - Trendelenburg's position.