case scenarios 2

Question 1

special needs

Answer 1

1) physical, developmental, mental, sensory, behavior, conditions
2) need special medical management 3)

Question 2

medical consultation

Answer 2

1) patient must sign a release of medical info
2) write a clear consult to physician in objective terms
3) provide info on the treatment you plan to do

Question 3

asthma

Answer 3

1) chronic lung condition
2) wheezing, chest tightness, shortness of breath, and coughing

Question 4

elia is 5 year old, moderate asthma. allergic rhinitis. allergic to dust mites and pollen. albuterol prn, qvar 2x daily, NKDA

Answer 4

1) has she ever been hospitalized for asthma attack? when the last astham attack was, what triggers it, how severe? sports, exercise? what medication and when? is qvar inhaled
2) would you require a med consult? Probably not, unless the parents do not know any information. Only if it seems severe.
3) nitrous oxide can trigger an attack, irritating the tissue. Even though it is a bronchodilator

Question 5

what do you do if patient experience an asthma attack in the chair

Answer 5

1) stop procedure
2) sit them up and maintain airway
3) put them on oxygen 10L/min
4) admin emergency albuterol inhaler 4 puffs
5) epi-pen in emergency based on weight
6) call EMS

Question 6

what are the signs of an asthma attack

Answer 6

1) wheezing, coughing, difficulty breathing, panic

Question 7

dental implications

Answer 7

1) mouth breathing
- saliva less
2) albuterol (beta-2-agonist) is xerostomic
3) corticosteroids can cause candidiasis
4) gingivitis

Question 8

4 year old, allergic to triads, autism

Answer 8

1) general temperament
2) any tell behaviors
3) how does she communicate
4) developmental milestones
5) neurological disorders
6) therapy and medications
7) any sensitivities