Week 1: Med/Dent History Management Flashcards
paper forms must be filled out in _____ ink; changes ____ ___, ____ and _____
permanent, lined out, dated, initialed
minors need ____ consent from parents/guardians for dental treatments
physical
True/false? OHIP are updated at every appointment
False, they are updated around every 10 days
What needs to be updated at each appointment?
- Med Hx reviewed at every appt.
- Any changes (Y and note), in the S of SOAP note
True/false? “Tell me about…” is a good way to get open-ended answers
true, this is a helpful way to obtain information and build rapport
“Yes” response to systemic conditions need follow-up such as…
- severity
- age of onset
- type of Tx
- current medications
- last physician
- if appropriate, “did you take your medications today/prior to your appointment?”
When in doubt w/ medical history, we treat the patient as if they said ___ to a question
yes
True or false, if your patient has high BP, you do not have to let DH faculty know
false, you do have to notify DH faculty
Where do medications need to be listed in the EHR?
- Medical History
- Medications list at the top right
premedication for the following?
prosthetic (artificial) heart valve
Yes
premedication for the following?
previous infective endocarditis
Yes
premedication for the following?
hypertension
No
premedication for the following?
cyanotic congenital heart disease (including surgically constructed systemic-pulmonary shunts or conduits)
Yes
premedication for the following?
repaired congenital heart disease w/ residual defects
Yes
premedication for the following?
congenital heart defect completely repaired
Yes
premedication for the following?
cardiac transplants
Yes
premedication for the following?
kidney transplants
Yes
premedication for the following?
total joint replacements
No, if patient is healthy
hot topic…SOD has its own guidelines
If patient is HEALTHY and has total joint replacement, do they need premedication?
No, per ADA guidelines (some physician/dentists disagree and would like premedication anyways)
premedication for the following?
leukemia
Yes
antibiotic coverage is needed for…
- probing/exploring
- prophylaxis
- scaling & root planing
- antibiotic fiber placement
- local anesthetic injections through infected tissue
the following procedures can be preformed without antibiotic coverages
- local anesthetic injections through non-infected tissue
- radiographs
- fluoride treatments
- application of desensitizing agents
- topical anesthetics
- placement/adjustment/removal of orthodontic and removable prosthetic appliances
antibiotic coverage is effective for ___ hours
4-6 hours
Preventing antibiotic resistance: allow at least ___ days between appointments
10
