Personal Medical Histories, Medication Search, Vital Signs Flashcards
List examples of when you need to get informed consent
Planned procedures, expected successful outcomes of procedures, possible risk, unanticipated outcomes, alternatives to proposed plan of action, and costs.
What is the legal age in Oregon to give consent?
15 years
In PU DH Clinic how often is a new consent form obtained?
Every 2 years of if something has changed
What are the 3 ways to obtain information from patient?
Direct observation, health history questionnaire (electronically), and health history oral interview
What are the 4 vital signs?
BP, pulse, temp, respirations
What is a chief concern or complaint?
This should be the first question you ask before beginning exam. Ex: “Why have you come to the dental office today?” It is important to attempt to diagnose the source.
If the patient says yes to anything on the medical history, what should you do?
Ask follow up questions regarding the specific condition
What is dyspnea?
Shortness of breath
Regarding antibiotic premedication, when would you need to reschedule appointment?
If the patient forgot to take their antibiotic premedication
How long after a heart attack/stroke can the patient come in for an appointment?
6 months
Ultrasonic equipment may interfere with what device?
Pacemaker
If a patient has asthma or an angina, what does the patient need to bring for both?
Asthma: Inhaler
Angina: Nitroglycerin
Both need to be kept on counter during appointment
What is low blood pressure?
90 or below - systolic
60 or below - diastolic
Which medical conditions require a prophylactic prior to dental treatment?
Heart valve disorder, artificial heart valve, endocarditis, congenital heat defects, heart transplant with valve dysfunction, and inborn heart defects
Define orthostatic hypotension
A form of low blood pressure that happens when you stand up too fast from sitting or lying down.
Define ausculatation
Listening to sounds from the heart, lungs, or other organs, typically with a stethoscope, as a part of medical diagnosis.
Define tachycardia
Abnormal rapid heart rate
Define bradycardia
Abnormal slow heart rate
Define bradypnea
Abnormally slow breathing rate
Define tachypnea
Abnormally rapid breathing rate
Define hypertension
High blood pressure
When should the appointment be rescheduled pertaining to a herpetic lesion
If the lesion is in the vascular or crusted stage
When is the best time for treatment for a pregnant woman?
The second trimester
What should A1C patients maintain?
7% or less HbA1C with well controlled diabetes or 7.5% in elderly patients
When would treatment be delayed for someone who has not been diagnosed with diabetes?
If their blood/glucose levels are at 200 mg/dl or above
Any patient with a blood glucose of ____________________ receives an immediate referral to a physician and all treatment is delayed
300 mg/dl or higher
What is a normal BP?
<119 / <79
What is considered an elevated BP? What kind of treatment can be done?
120-129 / <80
All treatment is appropriate
What is stage 1 hypertension? What kind of treatment can be done?
130-139 / 80-89
Selective dental care (prophy, restorative, nonsurgical tx) is appropriate
What is stage 2 hypertension? What kind of treatment can be done?
140< / 90 <
Same kind of treatment as stage 1
What is a hypertensive crisis? What kind of treatment can be done?
180 < / 120 <
Immediately take patient to ER for further evaluation. No dental treatment
What is the BP cut off at PU? What kind of treatment can be done?
160 < / 100 <
Immediate referral to medical provider and medical clearance needed prior to next appointment. No elective dental treatment. Retake blood pressure 5 minutes after initial reading
What is ASA class 1?
Healthy, no systemic diseases.
What does ASA stand for?
American Society of Anesthesiologists
What is ASA class 2?
Pregnant, well controlled asthma, type 2 diabetes, hypertension, epilepsy, smoker, high alcohol consumption, dental phobic
What is ASA class 3?
COPD, controlled type I diabetes, Stable angina pectoris, Congestive heart failure, Uncontrolled Type II diabetes, Morbid obesity/uncontrolled, hypertension
Binge drinking, Implanted pacemaker, regular dialysis
What is ASA class 4?
Incapacitating to patient: Unstable angina pectoris, Uncontrolled type I diabetes, Uncontrolled epilepsy, Severe COPD, Severe congestive heart failure
What is ASA class 5?
Life threatening diseases: End stage renal, pulmonary, hepatic, cardiovascular disease, or other terminal disease
What ASA classes does PU not give treatment to?
Class 4 & 5
What MH/DH questions need to be updated every time?
- Has there been any changes to your medical history?
- When was your last visit to the physician, urgent care or hospital?
- Prescription and non-prescription medications have been reviewed and updated?
- Vitals
- Agreement
What is a normal pulse for:
- Adults & Elderly
- Adolescents
- Children
Adults & Elderly: 60-100 bpm
Adolescents: 50-90 bpm
Children: 75-120 bpm
What is normal respiration for
- Adults, elderly, & adolescents
- Children
Adult, elderly & adolescent: 12-20 RPM
Children: 15-25 RPM
What is a normal temperature for
Adult: 97.6-99.6
Elderly: 96.4-98.5
Children: 95.9-99.5
At what temperature do you stop patient treatment?
100.4 and above
What does ADPIE stand for?
Assessment, Diagnosis, Planning, Implementation, Evaluation
What are Korotkoff sounds?
The thumping sounds you hear when you take BP
What is the diaphragm?
The larger part of chest-piece on the stethoscope that is directly against the patients skin
What is the Bell?
The smaller part of chest-piece on the stethoscope that is the opposite side of the diaphragm
What are the binaurals?
The metal piece of the stethoscope that attaches the earpieces to the tubing.
