Module 1 Flashcards
what is included in the pre-anesthetic assessment evaluation
- complete medical / dental history
- physical examination
- psychological examination
what is included in the complete medical / dental history
- current conditions
- past conditions
- OTC drugs or supplements
- adverse reactions to meds
- problems w/ previous dental treatment
- ASA Classification
- LAs responses
- fears
how many meds taken on the same day can alter efficacy and safety of local anesthetics
2 + meds
what is ASA classification indicative of
medical status
what is included in a physical examination for the pre-anesthetic assessment
- visual exam
- BP
- pulse & rr
- pts weight
what does the visual exam entail
- posture
- movement
- speech
- skin
what should be considered with a BP of 140-159 / 90-94
N2O for stress reduction
what should be done for a BP of 160-199 / 95-114
- retake
- refer for med consult before treatment
what should be done for a BP of >200 / >115
- retake
- refer for immediate med consult
what is the acceptable HR for an adult
60 - 100
what is the acceptable HR for a child
75 - 100
what is the acceptable HR for a toddler
120 - 160
what is the acceptable RR for an adult
12 - 20
what is the acceptable RR for a child
18 - 30
what is the acceptable RR for a toddler
25 - 32
why is it important to record the patients weight
to determine MRD of local anesthetics
what is the unfounded fear of dental treatment often associated with traumatic, painful past dental treatment
dental phobia
what are the clinical signs of moderate anxiety
- stiff posture
- nervous “play”
- “white knuckle” syndrome
- sweating
- “too cooperative”
- nervous conversation
- quick answers
what are the steps of the stress reduction protocol
- adequate pain control (explain advantages of local anesthetics to patient and the effects that stress can have on the body )
- decrease pain of injection
- select local anesthetic of appropriate duration
when does risk assessment occur
after medical / dental history, physical exam & psychological evaluation
what is determined by risk assessment
- safety for dental treatment
- modifications to dental treatment
- need for local anesthetic
- selection of specific local anesthetic
what is assessed in the risk assessment
A = antibiotics, anesthesia, anxiety, allergy
B = bleeding
C = chair positioning
D = drugs, devices
E = equipment, emergencies
what is fear
an unpleasant often strong emotion caused by anticipation or awareness of danger
what tends to be short lived and disappearing when the threat or danger passes
fear
what is not eliminated as easily and tends to be a learned response from personal experience or from the experience of others
anxiety
what is from anticipation of or the thought of dentistry
anxiety
what refers to the reaction occurring in the dental office
fear
what has a potential to increase BP
local anesthetics & stress
