History taking, medical conditions, pharmaceutical records

Question 1

Infective endocarditis

Answer 1

infection in heart due to bacteria, entry into blood steam for bacterium during treatment, antibiotic prophylaxis taken 1 hour before treatment

Question 2

types of diabetes:

Answer 2

Pre-diabetes - at risk
type 1 - insulin deficient
type 2 - can’t use insulin
ges. mellitus - glucose intolerance

Question 3

diabetes mellites risks

Answer 3

Hypoglycaemic episode - have sugar available. slow healing.
Don’t treat uncontrolled unless medical clearance.
- controlled: A1C 7.0%, glucose meter 70 - 130 mg/dl
Uncontrolled: A1C 11.1% ^. GM 200 +

Question 4

Rheumatic heart disease

Answer 4

Cardiac manifestation of rheumatic fever. prophylactic is not required, may be needed. Use antimicrobial mouth rinse

Question 5

valvular heart defects

Answer 5

Any cardiac condition for which antibiotic prophylaxis is reccomended

Question 6

Hypertension

Answer 6

constant elevation of blood pressure
Sys: 160mmHg +
Dis: 100 mmHg +

Question 7

Coronary heart disease

Answer 7

not enough blood flow from coronary arteries into the heart, if unstable angina postpone , nitroglycerin within reach. if MI in last 30 days postpone

Question 8

Dysrhythmias and arrythmias

Answer 8

dysfunction of heart rhythm, premedication I unusual is CIED is older than 6 months

Question 9

congestive heart failure

Answer 9

diminished cardiac output, may be prone to gagging, needs to be upright, limit use of ultrasonic

Question 10

Cardiovascular surgery

Answer 10

angioplasty (tiny balloon)
coronary bypass: no contradictions
closed heart surgery : no contradictions
heart transplant; big concern, talk to cardio

Question 11

Cancer

Answer 11

active treatment causes immunosuppression, consult physician, examine lesions every appointment

Question 12

AIDS, HIV

Answer 12

immunosuppression, consultation for prophylaxis. Maintain standard precautions

Question 13

Asthma

Answer 13

chronic inflammatory disease characterized by an increased responsiveness of the bronchial airways. stress, semisupine, avoid aerosol, avoid nitrous oxide, bronchodilator

Question 14

Chronic obstructive pulmonary disease

Answer 14

chronic irreversible obstruction of airflow, semisupine position,

Question 15

Tuberculosis

Answer 15

active TB should not be treated

Question 16

Oral herpres viral hep

Answer 16

If orofalical lesions - schedule at a later date