Cardiovascular disease- medical history and dental implications

Question 1

what sort of questions should you ask about the severity of disease?

Answer 1

-how far can you walk?
-do you get pain at rest? unstable angina
-how often do you use gtn spray? unstable angina if often
-does gtn spray always work? unstable angina if not

Question 2

what sort of questions should you ask during medical history?

Answer 2

-any heart problems?
-any chest pain?
-any pain in legs when walking?

Question 3

how does gtn spray work and where is it used?

Answer 3

vasodilator and under tongue

Question 4

should you continue treatment if you suspect unstable angina?

Answer 4

no- delay with unstable angina

Question 5

what should you do if a patient has unstable angina, limb ischemia (pain at rest), concerning hypertension?

Answer 5

postpone treatment and refer to gp

Question 6

what is the asa classification?

Answer 6

the degree of “sickness”
asa I= healthy patient
asa II- mild systemic disease
așa III- severe systemic disease
așa IV- severe systemic disease-constant threat to life
așa V- wont survive without operation (moribund)
asa VI= braindead

Question 7

what drugs are commonly used to treat CVD?

Answer 7

statins, ace inhibitors (prils) , angeotensin II antagonists (sartans), antiplatelets (prevent blood clots)

Question 8

what is meant by the INR of a drug

Answer 8

how long it takes blood to clot

Question 9

at what INR should you postpone treatment ?

Answer 9

more than or equal to INR of 4.

Question 10

what oral issue can ace inhibitors cause?

Answer 10

oral lichen- white patches/red swollen tissue/chronic inflammation
glossitis

Question 11

what oral issue can calcium channel blockers cause?

Answer 11

gingival hypertrophy e.g amlodopine