Perioperative Management Flashcards
What is the goal of preoperative management & patient evaluation
Reduce periop morbidity
What are the benefits of Perioperative patient evaluation
- 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
ASA class
Healthy patient, no medical problems
ASA I
ASA Class
Mild systemic disease
ASA II
ASA Class
Severe disease, but not incapacitating
ASA III
ASA Class
Severe disease, that is a constant threat to life
ASA IV
ASA Class
Moribund, not expected to like 24 hours, irrespective of therapy
ASA V
ASA Class
Organ donor
ASA VI
What should be considered when taking a patients social history
Tobacco, ALCOHOL, recreational drugs
What things are considered during a patients physical examination
- 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
What kind of assistance is sought after during consultations
-Info, recommendations, opinions, request for Tx by consultant
Never treat a ____
stranger
(T/F) the fact that you do not know something cannot be an excuse for a negative outcome
True
Postoperative Care of Oral surgery patient includes
- Preparing patient for expected course
- Identify potential complications
- Provide reference and point of contact
- Make No Assumptions
What severity of pain is expected after oral surgery/what procedures increase this pain level
mild–>moderate; increases with flap, bone removal
How is the pain from surgery managed in regard to drugs
- OTC analgesics are appropriate for simple extractions.
- Mild narcotic combinations for surgical flaps, bone removal, difficult extractions, low pain threshold patients
What is the key to bleeding management
Have it stopped BEFORE patient leaves office
(T/F) Post-Op antibiotics are generally warranted in healthy patients
False–rarely
*(T/F) Prophylactic antibiotics are appropriate in some situations after surgery
True;
- Heart valves
- Heart disease < 6 yrs
- Prosthetic Implants (all metal implants)
Oral hygiene guidelines
- 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)
What occurs when someone gets a dry socket
- 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
