Medical History, SOAP Notes, Vitals Flashcards
what conditions does a patient need to premedicate for?
artificial/damaged heart valves history of infective endocarditis congenital heart conditions/defects transplants immunocompromised physician's order
mnemonic for remembering when to premedicate
Always Hug Close Terrific Indescribable People
adult dose for amoxicillin
2gm
adult dose for clindamycin
600mg
two most common antibiotics prescribed for premedication
amoxicillin, clindamycin
emergency number in our clinics
1-2-3-4-5 OR refer to the number on the yellow sheet posted by phone
ASA code for healthy patient without systemic disease
ASA I
ASA code for patient with mild systemic disease or significant risk factor
ASA II
ASA code for patient with moderate or severe systemic disease that limits activity but is not incapacitating
ASA III
ASA code for patient with incapacitating systemic disease that is a constant threat to life; is in distress at rest
ASA IV
ASA code for moribund patient (dying) not expected to survive 24 hours with or without an operation
ASA V
“S” in SOAP stands for
subjective
“O” in SOAP stands for
objective
“A” in SOAP stands for
assessment
“P” in SOAP stands for
planning, procedures
items to write in “S” of SOAP notes
type of appointment (recall, SRP, etc.), medical history, chief compliant, consent
items to write in “O” of SOAP notes
head/neck exam, record gingival tissue, bleeding upon probing (BOP), deposits, risk factors
items to write in “A” of SOAP notes (THREE things)
caries, periodontal, deposits
items to write in “P” of SOAP notes
instruments used, self-care goals, dental exam findings
three categories for caries under “Assessment” of SOAP notes
active, at risk, control
three categories for periodontal under “Assessment” of SOAP notes
healthy, gingivitis, periodontitis
three categories for deposits under “Assessment” of SOAP notes
Class I, Class II, Class III
What is Class I in deposit assessment?
rough in less than 5 spots
What is Class II in deposit assessment?
rough in 5-15 subgingival calculus
