Hx, Exam, and documentation

Question 1

assessment step must include what two things?

Answer 1

ASA classification and diagnosis code

Question 2

acute vs chronic pain

Answer 2

acute less than 3 months - 6 months

chronic pain greater than 3-6 months

Question 3

severity level

Answer 3

no 0
mild less than 4
moderate 5/6
severe over 7

Question 4

normal BP

Answer 4

120/80

Question 5

elevated BP

Answer 5

120-129/ under 80

Question 6

HTN stage 1

HTN stage 2

Answer 6

stage I 130-139/ 80-89

stage II over 140 / over 90

Question 7

adolescence HR, RR, BP, temp

Answer 7

55-105
12 to 20
100 to 120 mmHg
98.6

Question 8

early adult HR, RR, BP, temp

Answer 8

(20 - 40 years)
70 bpm
16 to 20
120 to 80 mmHg 
98.6

Question 9

middle adult HR, RR, BP, temp

Answer 9

41-60 
70 bpm
16-20
120 - 80 mmHG 
98.6

Question 10

late adult HR, RR, BP, temp

Answer 10

depends on pt. physical and health status

Question 11

papule vs macule

sessile?

Answer 11

papule - rounded

macule - flat

sessile (broad) vs narrow (pedunculated)

Question 12

ASA I

Answer 12

normal / healthy patient

Question 13

ASA II

Answer 13

mild systemic disease

examples: current smoker, social alcoholic drinker, pregnant, obesity (30

Question 14

ASA III

Answer 14

severe systemic disease

functional limitations

one or more moderate/ severe diseases

examples: poorly controlled DM/ HTN, COPD, morbid obesity like BMI over 40, active hepatitis,alcohol dependence or abuse, pacemaker, ESDR with diaylsis, premature infant

Question 15

ASA IV

Answer 15

constant threat to life

Question 16

ASA V

Answer 16

not expected to survive without the operation

Question 17

SOAP note

Answer 17

subjective
objective
assessment
plan

Question 18

mallampati score

Answer 18

I-IV
Class I: Visualization of the soft palate, fauces, uvula and pillars. No anticipated difficulty. Class II: Visualization of the soft palate, fauces, uvula. No anticipated difficulty. Class III: Visualization of the soft palate and base of the uvula. Anticipate moderate difficulty. Class IV: Soft palate is not visible. Anticipate severe difficulty

Question 19

sequence to present patient

Answer 19

1. age
2. gender
3. todays planned procedure
4. ASA classification
5. significant health hx
   - dx, meds. controlled?
   - any lab values
6. reported vital signs
7. present allergies
8. dx of tooth
   include intra oral and extra oral exam before this
9. tx plan of tooth including anesthetics use

Question 20

procedure code for nitrous

how to pay?

Answer 20

D9230

must pay upfront - 54 dollars

Question 21

equipment for nitrous

Answer 21

check pressure gauges of each
sign out the tank

connect white house to scavenger system (yellow hose) – turn on and make sure suction is good

connect nasal hood to each hose and put the nasal hood into the scavenger hub

Question 22

oxygen flow rate on the nitrous machine?

%?

Answer 22

6 L/min

at 100% oxygen

Question 23

what color is oxygen?

what color is nitrous?

Answer 23

oxygen = green
nitrous = blue

Question 24

do not exceed what ratio with the use of nitrous?

Answer 24

no more than 50%

dial in the middle of the machine

Question 25

after the procedure adjust flow rate? WHY?

Answer 25

yes back to 100% oxygen for at least 5 minutes

*in order to AVOID diffusion hypoxia

Question 26

make sure pressure gauges read what after use?

Answer 26

0