Medical Emergencies · single question
When repositioning a dental chair to the upright position, the patient suddenly feels dizzy and lightheaded. What is the most appropriate IMMEDIATE action?
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Correct answer: A. Return the chair to the supine (tilted back) position
Dizziness/lightheadedness when moving to upright = orthostatic hypotension (blood pools in lower extremities). IMMEDIATE treatment: return to SUPINE position — redistributes blood, restores venous return and cerebral perfusion. Source confirms: 'Supine position.'
- A. CORRECT. Return to supine position — redistributes blood, restores BP and cerebral perfusion. First treatment for orthostatic hypotension.
- B. 911 if patient loses consciousness or doesn't recover — first step is positional management.
- C. Oxygen may be given after positioning but is NOT the primary immediate action.
- D. Nitroglycerin would LOWER blood pressure and WORSEN the hypotension — absolutely contraindicated.
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