OS 3 Flashcards
Medications for bp and heart management
Lisinopril , atenolol, toprol, Norvasc
Hctz- hydrochlorothiazide – thiazide diuretic (water pill)
Lasix- loop diuretic
Sedatives
Benzodiazepine: Alprazolam
SSRI : Zoloft, Lexapro
Sleep hypnotic: Ambien
General Anxiety reduction protocol before appt.
night before: triazolam/halcoin, zolpiden/ambien
morning of: benzos(triazolam,ativan)
General Anxiety reduction protocol during appt.
LA, N2O2, IV- midazolam(versed), fentanyl, propofol
Management of Pts. with History of Angina Pectoris: how to use nitroglycerine?
0.4 mg q5 min., may repeat if systolic BP > 90 mm Hg up to 3 doses max.- if > 20 min of chest discomfort still -> transport to ER, can have MI/ heart attack
Diabetes, fasting blood glucose levels?
fasting blood glucose > 140 mg/dl or 2hr postprandial blood glucose > 200 mg/dl
Long term diabetes control- HbA1c normal 6-7% range
finger stick - 80 – 120 is normal blood sugar
Premedication dose
Amoxicillin or Cephalexin 2g 1 hr prior
3 Basic principles of fracture tx
Reduction
Fixation- MMF
Stabilization
common mandible fractures
Condyle- 29%
Symphysis- 22%
clinical signs of fracture
Malocclusion, pain, laceration, ecchymosis on the floor of the mouth
opening - maxillary incisal to mandibular incisal tips?
40-45
condyle fractures displace in what direction?
Forward and medial
usually, condyle fractures use Fixation- MMF(2 weeks)
nerve injury to the eyes where the injured pupil dilates way more than the other pupil
Marcus-Gunn pupil
MRD cal.
maximum allowable dose (mg/kg) x (weight in kg/10) x (1/concentration of local anesthetic) = mL lidocaine