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Dental Office Emergencies
CPCC dental hygiene office emergencies- test 3
29
Health Care
Undergraduate 3
03/14/2011

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Term
Respiration
Definition
Process in which oxygen is gained and carbon dioxide in lost from the body. Regulated by its own physiological monitor
Term
Anoxia
Definition
No oxygen
Term
Apnea
Definition
No breathing movements
Term
Dyspnea
Definition
Subjective sense of shortness of breath. Air hunger; difficulty breathing
Term
Hyperpnoea
Definition
Greater than normal minute ventilation just meeting metabolic demands
Term
Hyperventilation
Definition
Ventilation that exceeds metabolic demands and depletion of arterial carbon dioxide
Term
Hypoventilation
Definition
Ventilation that does not meet metabolic demands
Term
Acidosis
Definition
An increase in blood carbon dioxide
Term
Hypoxemia
Definition
A decrease in blood oxygen
Term
Orthopnea
Definition
Inability to breath except in the upright position
Term
Hypoxemia
Definition
decrease in blood oxygen
Term
Hyperoxia
Definition
increase in blood oxygen
Term
Asthma
Definition
the clinical state of hyperactivity of the tracheobronchial tree (recurrent paroxysms of dyspnea and wheexing) Bronchospasm, bronchial wall edema, hypersecretion of mucous glands
Term
Epilepsy
Definition
Refers to any type of recurrent convulsion (chronic brain disorder of various etiologies) that is produced by paroxysmal excessive neuronal discharges
Term
Seizure
Definition
A paroxysmal (sudden, violent attack) disorder of the cerebral function characterized by an attack involving changes int eh state of consciousness, motor activity, or sensory phenomena. It is sudden in onset and usually of brief duration.
Term
Hyperventilation Predisposing Factors
Definition
Acute Anxiety; Adults 15-40 who hide fear
Rarely- children and patients over 40 (will voice stress and concerns)
Term
Hyperventilation Clinical Manifestations
Definition
Elevated BP (systolic); Elevated pulse and respiration. Deeper, shallow breaths; dizziness, tetany, palpiation, tachycardia, precordial pain, GI globus hystericus; tense and anxious
Term
Asthma Predisposing Factors- Extrinsic Asthma
Definition
Allergic Asthma. Less frequent attacks during late and middle adolescence.
1. Inhalation of allergens
2. Food/Drug allergies
3. Psychological and physiological stress
Term
Asthma Predisposing Factors- Intrinsic
Definition
50% of asthmatics. Adults over 35, non-allergic; idiopathic, infective; more severe than extrinsic, poor prognosis and usually chronic.
1. Infection
2. Irritating inhalants
3. Cigarette smoke
4. Cold Air
5. Exercise
6. Emotional Upset
Term
Clinical Manifestations of Asthma
Definition
Mild Episode: thickness in chest, coughing spell, wheezing, dyspnea, increased anxiety, BP normal or elevated, high pulse (130/min indicated hypoxemia)
Term
Asthma Clinical Manifestations- Severe Episode
Definition
Intense dyspnea and orthopnea, cyanosis, perspirations, flushed, use of accessory organs, soft tissue retraction, fatigue, mental confusion
Term
Predisposing Factor of Seizures
Definition
Genetically determined
Presences of a localized brain lesion
Metabolic or toxic disturbance
State of cerebrovascular insufficiency (hypoxia, hypoglycemia)
Acute triggers like sleep, menstrual cycles, fatigue, flickering lights, physical or psychological stress
Term
Clinical Manifestations- Seizures
Definition
Blank stare
Crying
Loss of consciousness
Subtle changes or obvious reactivity
- Appearance of an aura
- Unconsciousness
- Increased Bp and pulse
- Hypersecretion
- Apnea
- Confusion or agitation
- Confused for up to 30 mins afterward
Term
Signs of Respiratory Difficulty
Definition
1. Sighing
2. Respiration Distress
3. Apparent shortness of breath
4. Rapid breathing
5. Characteristic sounds of respiration disorders: wheezing (asthma)or cough and moist respiration (heart failure)
Term
1st Stage of a Grand Mal Seizure
Definition
1. Prodromal: duration of several minutes to several hours; exhibits subtle or obvious changes in emotional reactivity
3. Immediate onset of the seizure that is marked by an aura
Term
Stage 2 of a Grand Mal Seizure
Definition
Pre-Ictal/Ictal:

-series of generalized bilateral, major myoclonic (rapid) jerks lasting several seconds
-autonomic changes occur: elevated bladder pressure, glandular hypersecretion and apnea (cessation of breathing)

- Tonic Component: series of sustained generalized skeletal muscle contractions that progress to a tonic extensors rigidity of the extremities and trunk
- Dyspnea and cyanosis
- Clonic: involves generalized clonic movments of the body with heavy stertorous breathing- manifested by alternating muscular relaxation and violent flexor contractions
Frothing of mouth and blood in oral cavity
Term
Stage 3 of a Grand Mal Seizure
Definition
Post Ictal: Cessation of tonic-clonic movement, return of normal respiration; consciousness returns gradually, patient sleeps.
Term
ASA III Patient
Definition
may be seen, may have acute episodes when under stress or while exercising or have required hospitalization or emergency care to terminate an episode.
Term
ASA III Epileptic Patient
Definition
MUST have a medical consult prior to treatment
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