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Oral Surgery 2 > lec 5 - post op management > Flashcards

lec 5 - post op management Flashcards

1
Q

Done for the first 24-48 hours to minimize swelling and discomfort.

A

Cold compress / therapy

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2
Q

Swelling often peaks at ______ hours after surgery.

A

48-72 hours

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3
Q

Gently brush teeth, avoiding the surgical area for the first 24 hours. After that, the patient can begin rinsing with ______?

A

Saltwater solution (1/2 tsp salt, 8 oz water)

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4
Q

Dissolvable stitches typically disappear within _______ days.

A

7-10 days

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5
Q

Avoid smoking for at least _______ hours.

A

72 hrs

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6
Q

Avoid alcohol for at least _______ hours.

A

24-48 hrs

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7
Q

The most effective way to stop post-operative bleeding is by?

A

Applying direct pressure (bite firmly on a gauze pad for 30-60 mins)

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8
Q

If bleeding persists, using a moistened black tea bag, which contains _______, a natural vasoconstrictor, wrapped in gauze can help promote clotting.

A

Tannic acid

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9
Q

Placed into the socket or wound to aid in clot formation.

A

Gelfoam (gelatin sponge)

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10
Q

Acts as a scaffold to support clotting.

A

Surgical (oxidized cellulose)

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11
Q

Promotes clotting by converting fibrinogen to fibrin.

A

Topical thrombin

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12
Q

Used in tooth sockets to help stabilize the clot and promote hemostasis.

A

Collagen plugs

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13
Q

Suture that can help compress the socket and stabilize the clot.

A

Figure-of-8 Suture

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14
Q

In cases of persistent bleeding, it can be used as a mouth rinse or administer systematically. It works by inhibiting fibrinolysis.

A

Tranexamic acid

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15
Q

If patient is not hypertensive, it can be used locally to reduce blood flow and encourage clot formation.

A

Vasoconstrictors (epinephrine)

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16
Q

Commonly prescribed for mild to moderate pain.

A

NSAIDS

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17
Q

Dosage for Ibuprofen

A

400-800mg for q6-8h

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18
Q

Dosage for Acetaminophen

A

500-1000mg for q4-6h

19
Q

Prescribed for more severe pain.

A

Opioid analgesics (hydrocodone, oxycodone)

20
Q

These are opioid analgesics combined with NSAIDS.

A

Percocet, Vicodin

21
Q

Dosage for Codein

A

15-60mg

22
Q

Dosage for Hydrocodone

A

5-10mg

23
Q

Dosage for Oxycodone

A

2.5-10mg

24
Q

Done after 45 hours to relieve stiffness and promote blood circulation.

A

Warm compress

25
Q

Prescribed to reduce inflammation and swelling in patients that underwent more extensive surgical procedures.

A

Steroids (corticosteroids, dexamethasone)

26
Q

Sedation options if patient is ancious.

A

Benzodiazepines or nitrous oxide

27
Q

Avoid commercial mouthwash for _________?

A

1 week

28
Q

Normal flossing can be resumed after ______ hours, except around surgical site.

A

24-48 hours

29
Q

Oral irrigators are avoided for _______ to prevent dislodging the clot.

A

1 week

30
Q

Also known as Swelling, it is a common occurrence after oral surgery that can cause discomfort, delayed healing, and complications.

A

Edema

31
Q

Cold compress is done at ______-minute intervals.

A

20-minute

32
Q

May be done to promote lymphatic drainage and help solve edema.

A

Gentle massage

33
Q
  • It is the restricted ability to open the mouth.
  • Usually after procedures involving the wisdom teeth, jaw, or TMJ.
  • Can result from inflammation, muscle spasms, trauma to jaw muscles, or proximity to the TMJ.
A

Trismus

34
Q

4 main causes of trismus

A
  1. Muscle trauma
  2. Surgical trauma
  3. Inflammation
  4. Infection
35
Q

May be prescribed on a short-term basis to alleviate muscle tension.

A

Muscle relaxants (diazepam, cyclobenzaprine)

36
Q
  • Also known as Bruising
  • Common in procedures that involve significant manipulation of soft tissues.
  • Results from bleeding under the skin and can cause discoloration and mild discomfort.
A

Ecchymosis

37
Q

4 Causes of post-op ecchymosis?

A

Trauma to blood vessels
Aging
Medications
Extent of surgery

38
Q

A natural remedy to reduce bruising and swelling.

A

Arnica (Arnica montana)

39
Q

Found in pineapple, an enzyme that may help reduce bruising and swelling.

A

Bromelain

40
Q

Analgesics that are AVOIDED in the first 48 hours as they can thin the blood and potentially worsen bruising.

A

NSAIDS (ibuprofen, warfarin)

41
Q

Normal progression of bruising changes color from red/purple to blue, green, or yellow and fading away over the course of ______ days.

A

7-14 days

42
Q

Diet rich in vitamin ___ and K help for tissue repair and blood clotting.

A

C and K

43
Q

Concealers with a _________ tint can neutralize purple tones of bruises.

A

Greenish

Oral Surgery 2 (6 decks)

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