Medical histories/Vitals

Question 1

Objectives of taking personal, dental and health histories

Answer 1

Collect information

Assess status of dental and medical health

Initiate referrals for further treatment

Recognize health status

Question 2

What will the health history provide?

Answer 2

Baseline data

Show overall status

Identify risk factors

Medical clearance issues

Legal documentation (always in ink)

Question 3

When does assessment and data collection begin?

Answer 3

When the client enters the room.

Check their walk, eyes etc.

Question 4

How often does a patient complete a health history questionnaire?

Answer 4

Once a year

Question 5

What should be included on the health history?

Answer 5

Personal and social history

Chief complaint

Dental history/oral

Medical history

Question 6

Conditions requiring medical clearance

Answer 6

For Premedication:

Underlying cardiac conditions
Prosthetic joint replacement
Artificial heart cakes
History of endocarditis

Question 7

What on the health history form will need to be discussed further?

Answer 7

Anything circled YES

must write explanation near the YES in red

Question 8

For bleeding gums and pain upon brushing on dental history form:

Answer 8

Teach disease process and prevention

Question 9

For grinding/clenching teeth in dental history form:

Answer 9

Discuss night guard and prevention

Question 10

For gum chewing and eating candy:

Answer 10

Discuss the caries process

Question 11

For dry mouth in dental history:

Answer 11

Question about diabetes, vitamin deficiency, COPD, radiation, menopause etc

Question 12

Prophylactic antibiotic premedication

Answer 12

Needed to fight bacteremia in the blood stream

Taken 1 hr before treatment

Clients with prosthetic total joint replacement may be susceptible, need medical clearance, supervising dentist will decide

May have to check with operating physician

Question 13

What are the vital signs we take at each appointment?

Answer 13

Blood pressure
Pulse
Respiration
Temperature

Question 14

Systolic

Answer 14

The peak or highest pressure

Result of ventricular CONTRACTIONS

Normal <120

Question 15

Diastolic

Answer 15

Lowest pressure

Result of ventricular RELAXATION

normal <80

Question 16

Elevated blood pressure

Answer 16

Systolic- 120-129

Diastolic- <80

Question 17

Stage 1 hypertension

Answer 17

Systolic- 130-139

Diastolic- 80-89

Question 18

Stage 2 hypertension

Answer 18

Systolic over 140 or a diastolic of 90 or higher

Question 19

Hypertensive crisis

Answer 19

> 180 and/or >120

Question 20

Pulse rate

Answer 20

Count of the heartbeat

Adults- 60-100
Child- age 10- 70bpm, age 4- 90bpm, age 2- 105bpm, birth- 130bpm, in utero- 150bpm

Question 21

Tachycardia

Answer 21

Pulse is greater than 150bpm

Question 22

Bradycardia

Answer 22

Pulse is less than 50bpm

Question 23

Respiration

Answer 23

Function is to oxygenate the tissues and remove CO2

Respiration is one breath in and out

Normal adult- 14-20
Child age 15- 18, age 8-20, age 2-25, age 1-30

Question 24

Normal adult and child temperatures

Answer 24

Adult= 98.6. Range 96.0-99.5
Child= 98.0. Range 98.6-99.4

Fever= 99.1
Hyperthermia= 105.8
Hypothermia= 96.0

Question 25

Office emergency protocol- may be responsible for:

Answer 25

``` Notifying others Administer CPR Retrieve emergency kit Retrieve oxygen Retrieve backboard Assist dentist by preparing emergency drugs ```

Question 26

What color is the oxygen tank?

Answer 26

Green

Question 27

Office hazards for personnel

Answer 27

``` AIDS Herpes Hepatitis Mercury contamination Radiation ```