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CDM > Patient Care Final (pt 1) > Flashcards

Patient Care Final (pt 1) Flashcards

1
Q

In what ways can microorganisms be transported in the dental office

A

Aerosols and splash ans splatter

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2
Q

What is the chain of infection

A

Source, host, mode of transmission

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3
Q

What factors can influence the suspetibility of a host

A

age, physical condition, medication, underlying medical conditions

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4
Q

What is less than 50 micrometers and can sty airbone for an extended period before settling on surfaces

A

Aerosols

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5
Q

What is larger than 50 micrometers and are only airborn briefly so their is limited pentration into the respiratory system

A

splash and splatter

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6
Q

High speed hand pieces, ultrasonic scaler, air and water are examples of?

A

Aerosols

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7
Q

Direct contact, indirect contact and respiratory are examples of ?

A

mode of transmission

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7
Q

Direct contact can be transmitted by____

A

broken skin and mucosal contact

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8
Q

Indirect contact can be transmitted by____

A

contaminated instruments

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9
Q

What is the ability to cause infection and damage

A

virulence

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10
Q

Resistance can be ___ and ____

A

innate and acquired

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11
Q

What is a condition of being able to resist a particular disease through preventing development

A

Immunity

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11
Q

What are the stages of infection

A

incubation- time btwn exposure and the first sign
prodromal- first sign and full development
acute- full development
decline

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11
Q

What is the process of physical cleaning to reduce microbes

A

Sanitzation

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11
Q

Use of disinfectant and paper towels is an ex of___

A

sanitzation

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11
Q

Heat filtration radiation and chemical are examples of

A

sterilization

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11
Q

The destruction of all microbes forms including spores is what

A

sterilization

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12
Q

primary sterilizing method is

A

steam under pressure and dry heat

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13
Q

What is used on living skin and mucous membranes

A

antiseptics

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14
Q

What is less lethal than sterilization and doesnt destroy spores and are toxic to skin

A

disinfection

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15
Q

what are the requirments for liquid disinfectants

A

correct temp, ph and conc

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16
Q

What kind of disinfectant kills all pathogens but not spores and is not used in UMKC

A

high level disinfectant

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17
Q

What destroys most viruses, fungi, bacteria and IS USED at UMKC

A

intermediate level disinfectant

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18
Q

What kills most vegetative bacteria and some viruses and fungi

A

low level disinfectant

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19
Q

What penetrates soft and hard tissues and confer a high degree of risk for infection and whats an example

A

critical item, explores, bur, scaler

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20
Q

What is it when an item contact but does not penetrate and enters the oral cavity and an ex

A

Semi critical, amalgam condenser, mirror, impression tray

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21
Q

What must all heat tolerant items INCLUDING hand pieces do

A

be heat sterilized

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22
Q

Items that dont enter oral cavity may be touched and whats an ex

A

non critical and an ex is counter or chair

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23
Q

What is the procedures and enforcement measure targeted at reducing the risk of occupational exposure to infectious persons

A

administrative control

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24
Q

An ex of adminstrative control is

A

passing the sharp end away from the dr

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25
Q

What is a device that isolates or remove the risk of exposure or pathogens

A

Engineering control

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26
Q

Whats an ex of engineering control

A

insturment cassettes and sharp container

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27
Q

What is a procedure that reduce the likelihood of exposure to infectios material by altering the manner

A

work practice controlw

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28
Q

whats an example of work practice control

A

recapping a needle

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29
Q

the New term for CDC guidlines is

A

Standard precautions

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30
Q

What does this describe: steam under pressure, 250 at 15 psi for 20 min

A

autoclave

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31
Q

What does this describe: 273 for 30 psi for 3-10 min

A

Flash sterilizer

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32
Q

What does this describe: 320 for 2 hrs 338 for 1 hr

A

dry heat

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33
Q

What does this describe: steam under pressure with chemical vapor and the vapor is hazardous

A

chemiclave

34
Q

Why can a spore test fail

A

if it is overloaded

35
Q

Calor
dolor
tumor

A

heat
pain
swelling

36
Q

What are vital signs

A

temp, pulse, respirations, blood pressure

37
Q

What is avg temp

A

98.6

38
Q

what is a low grade fever

A

99.6-100.3

39
Q

What is a fever

A

100.4

40
Q

What can happen if the reading is done incorrectly

A

the reading will be lower than the true temp

41
Q

Who has the highest pulse

A

females 12 and older
children are higher
athletes are lower

42
Q

Where can you take a pulse

A

radial brachial and carotid

43
Q

what is a normal pulse

A

60-100

44
Q

what is tachycardia

A

pulse greater than 100 bmp

45
Q

What is bradycardia

A

pulse less than 60 bmp

46
Q

What is normal respirations

A

12-20 breaths

47
Q

What is bradypnea

A

less than 12 breaths

48
Q

What is tachypea

A

more than 20 breaths

49
Q

What can cause hypertension

A

increase in age and obesity and decrease of physical activity

50
Q

____ refers to the pressure inside the artery when the heart contracts

A

systolic

51
Q

____ referes to the pressure inside the artery when the heart is at rest and filling with blood

A

diastolic

52
Q

____ is related to a risk of stroke

A

higher systolic

53
Q

___ is the max pressure your heart exerts while beating

A

systoic

54
Q

130/80 results in_____

A

systolic hypertension

55
Q

____ is the diff between the systolic and diastolic blood pressure and the force the heart generates when it contracts

A

pulse pressure

56
Q

Where do you take blood pressure

A

antecubital fossa

57
Q

when taking blood pressure you lsten for the beating sounds called

A

korotkoff sounds

58
Q

What are the % of diff groups of people with hypertension

A

blacks 42%
whites 28%
hispanics 26%
asians 25%

59
Q

normal Bp

A

120/80

60
Q

elevated bp

A

120-129/80

61
Q

hypertension stage 1

A

130-139/80-89

62
Q

hypertension stage 2

A

140/90

63
Q

hypertensive crisis

A

180/120

64
Q

what is the trendelenburg position

A

lay in spine with 15-30 degree incline with feet elevated above head

65
Q

Normal healthy patient no smoking is what

A

ASA 1

66
Q

patient with mild systemic disease, smokes, prego, obesity is what

A

ASA 2

67
Q

a patient with severe systemic disease and undergoes dialysis is what

A

ASA 3

68
Q

a patient with severe systemic disease and a threat to life is what

A

ASA 4

69
Q

a patient who is not expected to survive 24 hours is what

A

ASA 5

70
Q

A patient who is braid dead is what

A

ASA 6

71
Q

What are the signs of anxiety

A

diaphoresis
dilated pupils
increased bp
restlessness
hyperventilation
trembling

72
Q

What is the stress reduction protocol

A

oral sedation
intraoperative sedation
am app
short app
warm weather
post opp rx
post opp call

72
Q

___ is a transient loss of consciousness due to hyperfusion of brain and is characterized by a rapid onset and spontaneous resolution

A

syncope

73
Q

What is orthostatic hypotension

A

decrease of 20 in systolic ORRRR decrease of 10 in diastolic

74
Q

What can cause syncope

A

fear
pain
blood
hunger
exhaustion
hot enviroment

75
Q

What is a vasovagal syncope

A

rapid drop in heart rate and lead to fainting
MOST COMMON

76
Q

What are early syncope manifestations

A

warm
loss of color
sweating
feeling bad
nausea
tachycardia

77
Q

What are late syncope manifestations

A

yawning
difficult breathing
pupillary dilation
cold hands
dizzy
loss of cons

78
Q

Treatment for syncope

A

position patient horizontal
O2
cool compress
ammonia
loosen clothings

79
Q

____ to breath at a abnormally rapid rate so increasing the loss of Co2

A

hyperventilation

80
Q

symptoms of hyperventilation

A

CARPAL PEDAL SPASMS
rapid breath
confusion/dizzy
cold hands
tingle hands
tight chest

81
Q

Management for hyperventilation

A

terminate procedure
postition patient upright
NO O2
breath into paper bag
valium

82
Q

what is the order of donning

A

gown glasses mask gloves

83
Q

How long to purge hoses in sink

A

30 sec

84
Q

what kind of grasp do you hold the suction with

A

modified pen grasp or palm thumb

85
Q

DA chair should be _____ above Dr

A

4-6 in and feet shoul dbe on ring

86
Q

What is not seen in the mouth

A

parasitic

87
Q

What can break down the integrity of gloves

A

petroleum jelly

88
Q
A

CDM (5 decks)

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