Perioperative Management

Question 1

What is the goal of preoperative management & patient evaluation

Answer 1

Reduce periop morbidity

Question 2

What are the benefits of Perioperative patient evaluation

Answer 2

• Awareness of patient’s physical and medical state
• Allows provider to make adjustments to care plans based on patient’s presentation
• Allows provider to anticipate and prepare for adverse effects
• Eliminates or minimizes surprises

Question 3

ASA class

Healthy patient, no medical problems

Answer 3

ASA I

Question 4

ASA Class

Mild systemic disease

Answer 4

ASA II

Question 5

ASA Class

Severe disease, but not incapacitating

Answer 5

ASA III

Question 6

ASA Class

Severe disease, that is a constant threat to life

Answer 6

ASA IV

Question 7

ASA Class

Moribund, not expected to like 24 hours, irrespective of therapy

Answer 7

ASA V

Question 8

ASA Class

Organ donor

Answer 8

ASA VI

Question 9

What should be considered when taking a patients social history

Answer 9

Tobacco, ALCOHOL, recreational drugs

Question 10

What things are considered during a patients physical examination

Answer 10

• Head to toe exam
• Baseline Vital signs
• Begins when patient walks in
• Note anxiety levels
• Coupled with radiographs & lab tests when necessary
• Leads to formation of an impression or diagnosis
• Plan

Question 11

What kind of assistance is sought after during consultations

Answer 11

-Info, recommendations, opinions, request for Tx by consultant

Question 12

Never treat a ____

Answer 12

stranger

Question 13

(T/F) the fact that you do not know something cannot be an excuse for a negative outcome

Answer 13

True

Question 14

Postoperative Care of Oral surgery patient includes

Answer 14

• Preparing patient for expected course
• Identify potential complications
• Provide reference and point of contact
• Make No Assumptions

Question 15

What severity of pain is expected after oral surgery/what procedures increase this pain level

Answer 15

mild–>moderate; increases with flap, bone removal

Question 16

How is the pain from surgery managed in regard to drugs

Answer 16

• OTC analgesics are appropriate for simple extractions.

- Mild narcotic combinations for surgical flaps, bone removal, difficult extractions, low pain threshold patients

Question 17

What is the key to bleeding management

Answer 17

Have it stopped BEFORE patient leaves office

Question 18

(T/F) Post-Op antibiotics are generally warranted in healthy patients

Answer 18

False–rarely

Question 19

*(T/F) Prophylactic antibiotics are appropriate in some situations after surgery

Answer 19

True;

• Heart valves
• Heart disease < 6 yrs
• Prosthetic Implants (all metal implants)

Question 20

Oral hygiene guidelines

Answer 20

• Avoid rinsing on first day
• May brush/floss as usual (gentle near site, rinse gently first day, good hygiene will help healing)
• Rinse mouth with warm salt water several times a day beginning after surgery (hold in mouth, swish gently, spit & repeat)

Question 21

What occurs when someone gets a dry socket

Answer 21

• No blood clotting occurs
• Increase in pain 3-5 days after surgery
• No improvement in 3-5 days
• Worsening taste or odor in mouth
• Call and return for reevaluation if these signs appear

–>DO NOT diagnose over the phone***know for exam