Term
| What is the key to successful dental management of a medically compromised patient? |
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Definition
| a through evaluation followed by an assessment of risk |
|
|
Term
| What is the fundamental question to be asked? |
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Definition
| does the benefits of the treatment outweigh the possible risks |
|
|
Term
| What are the two techniques for medical history taking? |
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Definition
| interview style, written questionnaire |
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Term
| Vasoconstrictors should be avoided in patients who are what type of drug users? |
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Definition
|
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Term
| Information about hospitalization should include what? |
|
Definition
| diagnosis, treatment, and complications |
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Term
| How is a person's ability to perform common daily activities be measures? |
|
Definition
| with MET(metabolic equivalent levels) |
|
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Term
|
Definition
| a unit of oxygen consumption |
|
|
Term
| How much does a MET equal? |
|
Definition
| 3.5 mL of oxygen per kg of body weight per minute at rest |
|
|
Term
| What can MET be used to predict? How? |
|
Definition
| heart issues, if a person does is not able to reach a 4 MET demand during daily activity |
|
|
Term
| Changes in what is frequently associated with systemic disease? |
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Definition
|
|
Term
| What may pigmentation of the skin or nails tell us? |
|
Definition
| of a hormonal abnormality |
|
|
Term
| When is clubbing of the fingers seen? |
|
Definition
| cardiopulmonary insufficiency |
|
|
Term
| What can cause white discoloration in skin or nails? |
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Definition
|
|
Term
| What can splinter hemmorages of the skin or nails indicate? |
|
Definition
|
|
Term
| What may a melanoma lesion look like? |
|
Definition
| raised, darkly pigmented, irregular borders |
|
|
Term
| When may moon facies be seen? What is it? |
|
Definition
| May be seen in Cushing’s syndrome, it is fat buildup around the face |
|
|
Term
| What may unilatral paralysis of the face indicate? |
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Definition
|
|
Term
| What should the ears be checked for? |
|
Definition
| gouty tophi(seen with gout) |
|
|
Term
| What may an earlobe crease be an indicator of? |
|
Definition
|
|
Term
| How should the thyroid gland be palpated? |
|
Definition
|
|
Term
| What can enlargement of the thyroid gland be an indication of? |
|
Definition
-goiter
-infection
-cysts
-enlarged lymph nodes
-malignancy
-vascular deformities |
|
|
Term
| What are the only vitals usually directly measured in a dental office? |
|
Definition
|
|
Term
| How is respiratory rate determined? |
|
Definition
|
|
Term
| When is the temperature usually taken in a dental office? |
|
Definition
| when infection or systemic disease is suspected |
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|
Term
| What pulse do we usually take? Where is another common place? |
|
Definition
-we take radial
-another is carotid(on anterior border of sternocledomastoid muscle at thyroid level) |
|
|
Term
| What is the average pulse rate of adults? What is a high or low rate called? |
|
Definition
-60-100 BPM
-low is bradycardia, high is tachycardia |
|
|
Term
| What is the pulse called when it is at irregular intervals? |
|
Definition
| irregular, dysrhythmic, or arrhythmic |
|
|
Term
| How long do you measure pulse to check for irregularities? |
|
Definition
|
|
Term
| Where should the center of the blood pressure cuff be? |
|
Definition
|
|
Term
| A blood pressure cuff that is too tight could cause... |
|
Definition
|
|
Term
| What method of blood pressure measurement has gained universal acceptance? |
|
Definition
|
|
Term
| How does the ausculation method work? |
|
Definition
-The cuff is inflated until the radial pulse disappears; it is then inflated an additional 20 to 30 mm Hg
The pressure release valve is then slowly turned, allowing the needle to fall(2 to 3 mm Hg/sec)
-A point is noted at which beating sounds (Korotkoff sounds) first become audible(systolic)
-diastolic is measured when the kortkoff sounds go away |
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Term
| What is the range of a healthy adult blood pressure? |
|
Definition
|
|
Term
| What happens to blood pressure as one ages? |
|
Definition
|
|
Term
| How often should blood pressure be measured at the dentist? |
|
Definition
| twice throughout the appointment, average taken as a final measurement |
|
|
Term
| What blood pressure is considered hypertension? |
|
Definition
|
|
Term
| What is the respiratory rate for adults? |
|
Definition
|
|
Term
| When is temperature usually highest? |
|
Definition
|
|
Term
| What is someone's health that is ASA class I like? |
|
Definition
|
|
Term
| What is someone's health that is ASA class II like? |
|
Definition
|
|
Term
| What is someone's health that is ASA class III like? |
|
Definition
| significant or severe systemic disease |
|
|
Term
| What is someone's health that is ASA class IV like? |
|
Definition
| IV—patient with severe systemic disease that is a constant threat to life or that requires intensive therapy |
|
|
Term
| What is someone who is ASA class V like? |
|
Definition
| moribund patient (at point of death) |
|
|
Term
| Risk assessment involves the evaluation of 4 components? |
|
Definition
1.nature, severity, control of condition
2.the functional ability of patient
3.emotional state
4.type and magnitude of planned procedure |
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|
Term
| Half of people older than 65 have... |
|
Definition
| two or more chronic illnesses |
|
|
Term
| How many of the total prescription meds are taken by the elderly? |
|
Definition
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