Special Care Flashcards

1
Q

Chemotherapy patient, explain need to make them dentally fit and what things i might do to ensure this

A

Dentally fit needed to minimise risk of infection during chemotherapy when you are largely immunocompromised
- chemo puts toll on body, even the mouth
- whole aim of this is to reduce complications with chemo

Involves
- removing any active disease / decay
- removing hopeless teeth
- thoroughly improving oral hygiene measures
- full mouth scaling
- soft splint
- shave down sharp teeth
- high fluoride toothpaste
- fluoride trays / mouthwash
- diet advice to reduce sugar intake

Complications that may arise during chemo
- mucositis - benzydamine spray or mouth rinse, stop smoking, avoid spicy foods etc
- minimal intervention unless emergency

Post treatment
- dry mouth management with saliva replacement / info on water sips / sugar free chewing gum
- recovery period of years if taste affected, will not return to normal same with saliva function
- possible dysphagia
- increased risk of decay and periodontal disease

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2
Q

Carry out BLS for a baby

A

DRSABCR

DANGER CHECK
RESPONSE?
SHOUT FOR HELP

AIRWAY CHECK
BREATHING CHECK
CARDIO PULSE CHECK
REASSESS

CPR
- 5 rescue breaths
- 15 compressions 2 breaths
- 120bpm
- use thumbs to do chest compressions

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3
Q
A
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