Costley Module 5 Flashcards
HIPPA STANDS FOR
Health Information Portability and Accountability Act
(1996)
HIPPA comprises three key sets of rules…they are?
Privacy, Confidentiality, and Security
(of pt. information)
Privacy refers to a persons rights to keep helath information ——– and conrol ——-
private
who sees it
Confidentiality refers to the responsibility that ——- have to ——–patients information
healthcare provider
protect
Security refers to —–,——,and——- used to keep information private.
policies, procedures, tools
Specific objective of intra-and extraoral exams?
To recognize deviations from normal that may be signs oand symptoms of disease
Universal or ADA system of numbering teeth
1-32
(1) start at upper right over to upper left(16)
(17) down to lower left and over to lower right (32)
Baby teeth are numbered from —– to —– with the Universal numbering system.
A-T
F.D.I. system or (——–) is numbered how?
International
by Quadrant
- MX right (1)
- MX left (2)
- MN left (3)
- MN right (4)
Then you use palmers notation
Baby teeth are numbered how in the F.D.I system?
- MX right (5)
- MX left (6)
- MN left (7)
- MN right (8)
Then use Palmers notation
Palmer System is also called?
Set Square Method
An accurate detailed chart is used in what 5 ways
Care Planning
Treatment
Evaluation
Protection
ID
Clinical observations are recorded either on the —— or in the —— during ——-
Chart Form
Patient Progress notes
Each patient visit
Information that is NEVER included in the patient record includes?
Personal opinions
Speculation
Derogaroty statemtns
Financial matters, disputes, legal actions
SOAP
Subjective
Objective
Assessment/Analysis
Procedures
You must know the ——— of your patient before you start ————-
state of health
manipulating the tissues
The two general health history methods
Interview
Questionaire
A brief telephone screening interview can help determine potential ———
medical problems and need to premedicate
A complete history is made up of?
Interview and Questionaire
What are the 4 types of questions you could find on a Health History Questionaire
System Oriented
Disease
Symptom
Culture
System Oriented Questionaires have questions that contain references to _______
body parts
Do you have or have you had any of the following problems? Would be an example of a ________Oriented Questionaire
Disease
Does your mouth become dry frequently?
Would be an example of a _________Oriented Questionaire
Symptom
Questionaire (Advantages)
They are _____ in scope,
______time, and are _______
broad
Save
Consistent
Disadvantages of a Questionaire?
Impersonal
Inflexible
Who are the participants in a Health History Interview
The patient/parent and Clinician
The most effective attitude for the clinician to portray is one of friendly _______,______, and ______
understnading
reassurance
acceptance
Advantages of the Interview include development of a _______, and it is more _______ for individual needs
rapport with pt.
Flexibile
Disadvantages of the Interview include:
________ when not prefaced with Questionaire
Pt. may be ———— which leads to ______?
Time consuming
embarrassed
items being left out
Reasons for Pre-Medication with Antibiotic
Prosthetic Heart Valve
Previous Infective Endocarditis
Congenital Heart Disease:
- Unrepaired cyanotic congential heart disease
- Completely repaired CHD with prosthetic material or device (during first 6 mo after procedure was done)
- Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch
Cardiac Transplantation recipients with cardiac valvular disease
Dental and Hygiene procedures that need Premedication involve
Manipulation of gingival tissue
The periapical region of teeth
Performation of the oral mucosa
Prophylaxis Antibiotics
Amoxiciliin for Adult
Amoxicillin for Child
2g
50mg/kg of childs weight
Antibiotic Prophylaxis with Clindamycin or Cephalexin
Adult:
Child:
600mg Clindamycin
2g Cephalexin
20mg/kg of childs weight
50mg/kg of child weight
You have to update HHx how often
At every appt.
Normal range for body temperature
96-99.5 F
35.5-37.5 C
Normal Range for Pulse Rate
60-100/min
Normal Range for Respiration
14-20/min
Normal Blood Pressure
<120
<80
Prehypertension B/P range
120-139
80-89
Stage 1 Hypertension BP Range
140-159
90-99
Stage 2 Hypertension BP Range
>160
>100
Older adult (>70) have a _____ temp
lower
96.8F
Children body temperatures in first year?
twelfth year?
- 1F
- 0F
Pyrexia is a fever of
99.5F
Hyperthermia (heat stroke) has a temperature of
105.8 F
Hypothermia has a temperature of
96.0F
Factors that alter body temperature
Time of day ( high in late afternoon, low during sleep)
Increase: Exercise, hot drinks, smoking
Pathologic states: Infection, dehydration
Decrease: Starvation, hemmorrhage
Treat pt. as a medical emergency if temp is over?
105.8F
A pulse is the result of the alternate ____ and ___ of an artery.
expansion
contraction
Normal pulse rate In utero, at birth, and at tenth year
150
130
70
Tachycardia means
increase pulse
exercise, stimulants, eating, heat and cold, strong emotions….All could cause
Tachycardia
Bradycardia means
decreased pulse
Sleep, depressnats, fasting, quiet emotions, and low vitality from prolonged illness….could all cause
Bradycardia
You should observe ______ and ______ when taking a Pulse Rate
Rhythm
Volume/Strength
Normal Respiratory Rates for 1yr old and 15 year old
30
18
Factors that can increase respirations
work, exercise, excitement, nervousness, shock
Factors that can decrease respirations
sleep, certain drugs, pulmonary insufficiency
When the ——– ventricle contracts, blood is forced out into the aorta and tracels through the large arteris down…
left
Systolic vs. Diastolic
Stystolic is highest number
Diastolic is lowest number
The ________ is the difference between systolic and diastolic
Pulse Pressure
At what age should you start taking BP
8 years old
Blood Pressure depends on the following:
_____ of heart beat
———- ——– and _______ of blood
Force
Peripheral Resistance
Volume
Systolic Pressure is caused by ?
ventricular contraction
Diastolic Pressure is the effect of?
Ventricular relaxation
The BP cuff goes where?
1 in above anticubital space
Karotkoff Sounds
Vibrations in the artery walls heard through a stethoscope
Auscultation is the act of?
listening for sounds in the body with a stethoscope
Too small or too narrow of a BP cuff gives you?
A false high
