Midterm Flashcards
most important factor in malpractice litigation
documentation and notes
___ ___ contains medical history, current Rx, and allergies
health history
3 situations that require premedication
unrepaired CHD
repaired CHD within 6 months
repaired CHD with existing defects
st john wart, garlic, fibers, laxatives are ___
inducers
echinacea, ginger, cayenne, grapefruit, licorice, gingko, kava, and ginseng are ___
inhibitors
men alcohol use
</= 4 per day or 14 per week
women alcohol use
</= 3 per day or 7 per week
HA
hypertonia arterialis (headache)
ASA classification is limited to ___ status
physical (preoperative)
IDDM, morbid obesity, stable angina, and dialysis are all under ASA ___
III
unstable angina, symptomatic COPD/CHF, and ESRD are all under ASA ___
IV
NIDDM, obesity, controlled HTN/HyperTH/asthma, smokers, and pregnant are all under ASA ___
II
ASA ___ is not expected to survive operation
V
the ___ in SOAP is where the Dx is made
A
___ or ___ = emancipated
married
pregnant
diastolic 80-89
stage I HTN
diastolic >90
stage II HTN
HTN urgency vs emergency
normal feeling vs symptomatic
no restrictions and normal EKG (IHD) = ASA ___
II
angina epi dosage
.04 mg (30 min)
how many mg in 1:100,000
.01 mg/mL
how many mg in 1.7 mL 1:100,000
.017 mg/mL
how many mg in 1.7 mL 2% lidocaine
34 mg
1% solution = ___ mg/mL
10 mg/mL
how many nitro in bottle
25
minimum systolic with nitros
100
what 6 things increase risk for cardiac risk index
high risk surgery
IHD
CHF
CVA
IDDM
serum creatinine > 2 mg/dL
most CVAs are ___
ischemic (embolism/thrombotic)
status asthmaticus Tx
epi 0.3 mg subQ Q15 x 3
supplemental O2 1-3 L/min
barrel chested
thin body habitus
emphysema
cyanotic
obese body habitus
bronchitis
respiratory drive is a ___ drive
hypoxic
___ appointments better for COPD
PM
how does insulin dosing change if IV sedation
decrease AM dose by 50%
or withhold AM dose and decrease night by 50%
encapsulated “bugs”
some stranger killers have pretty nice capsules
salmonella
strep pneumo
klebsiella
h flu
pseudomonas
neisseria
cryptococcus
what temperature is best for sickle
warm
how is steroid dosing affected by dental surgery
do not change normal dosing
what is considered long-term steroid dosing
20 mg/day x 3 weeks
myxedema Tx
levo + steroids
avoid ___ and ___ for best clotting
NSAIDs
ASA
___ and ___ (AB) are teratogenic
steroids
aminoglycosides
___, ___ (with conditions), and ___ (with conditions) cause harm to the fetus
ASA
NSAIDs (3rd Tri)
opioids (long-term)
what 6 Rx are harmful during lactation
ASA
atropine
steroids
valium
metronidazole
PCN
epithelial renewal begins ___ after surgery and complete after ___ to ___ ___
hours
1-2 days
inflammatory phase AKA
lag phase
main material during inflammatory phase
fibrin
2 phases of inflammatory phase
vascular
cellular
fibroblasts secrete ___
fibronectin
___ ___ and ___ are present in the fibroplastic phase
ground substance
tropocollagen
strength in fibroplastic phase
70-80%
suture removal timing
5-7 days
peak tensile strength
80-85% (60 days)
foreign material causes ___ ___
chronic inflammation
what 3 things can cause ischemia during wound healing
tight sutures
hypotension
pressure
hypertrophic scars
pedo
regress
flexor surfaces
keloid Tx
40 mg/cc steroids 3x/month for 6 months
silicone pressure wrapping 2-3 months
___ intention healing leads to granulation tissue
secondary
___ and ___ heal by secondary intention
gingivectomy
extractions
tertiary intention explained
delayed primary closure
___ intention has more epithelial migration and collagen
secondary
localized osteitis =
dry socket
total lamina dura resorption takes ___ ___
1 year
most important factor in bone healing
bone separation
poor vascularity of bone healing leads to ___ and maybe ___ ___
cartilage
fibrous unions
most nerve injuries are ___
neuropraxia
dyesthesia
painful
