Patient Evaluation Part 1

Question 1

What are the cornerstones of patient evaluation and risk assessment?

Answer 1

• Med history
• physical examination
• lab tests as needed
• Med consultation as needed.

Question 2

What is Infective Endocarditis? What are the recommendations to prevent this from dental procedures? (meds and dose?)

Answer 2

• Microbial infection of endo surface of heart valves.
• Keep optimal oral health/hygiene, and pre-medicate at risk individuals with Amoxicillin 2g 30min-1hr before procedure. If allergic to this, Cephalexin 2 g.

Question 3

What is considered hypertension?

Answer 3

Systolic of 140 or diastolic over 90.

Question 4

What is pulse pressure? What is mean arterial pressure (MAP)?

Answer 4

• Pulse pressure= Systolic - Diastolic.

- Sum of diastolic pressure plus 1/3 pulse pressure.

Question 5

Whats the maximum of epinephrine that should be used in normal dental patients? In heart disease patients?

Answer 5

• 200 mcg in normal

- 40 mcg in heart disease

Question 6

What is MET? What is minimum for risk?

Answer 6

Metabolic equivalent levels. 4.

Question 7

What are normal White blood count, Hematocrit, Creatinine, BUN, Glucose, and INR?

Answer 7

WBC= 4400-11,000/ml
Hematocrit= 36-50%
Creat= .6-1.2 mg/dl
BUN=8-23 mg/dl
Glucose= 70-110 mg/dl
INR=

Question 8

What is the max dose of epinephrine to be used in session for normal dental patient? Hypertention patient?

Answer 8

normal= 200 mcg
Hyper= 40mcg

Question 9

What is the ACTH stimulation test?

Answer 9

Measures how well the adrenal glands respond to ACTH.