Term
| What is the best way to prevent a medical emergency in the dental office? |
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Definition
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Term
| What are two stress related emergencies that can occur? |
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Definition
| Vasodepressor syncope and hyperventilation |
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Term
| What is cerebral ischemia? |
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Definition
| loss of conciousness occuring because of lack of oxygenated blood flow to the brain |
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Term
| explain the process that prevents fainting |
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Definition
| Fight or flight (sympathetic)> vasodialtion of skeletal muscles occurs > blood diverts in skeletal areas > blood returns to heart from skeletal muscles > adequate oxygenated blood levels are supplied to heart> no fainting |
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Term
| What happens to blood when the patient sits in the chair |
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Definition
| Blood pools in the muscles. |
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Term
| what is the process of syncope? |
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Definition
| venous blood flow is reduced, bradycardia, cardiac output reduced, not enough oxygenated blood being pumped, fainting |
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Term
| explain the managment of fainting |
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Definition
| encourage muscle activation by raising feet higher than the head to increase venous blood flow. |
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Term
| what are the three signs of syncope? |
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Definition
| pre-syncope, syncope, post-syncope |
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Term
| what are the symptoms of pre-syncope? |
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Definition
| pale-color, persperation, warmth, nausea, increased pulse |
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Term
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Definition
| cold, dizziness, hypotension, yawningg, dialated pupils |
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Term
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Definition
| facial pallor, nause, weakness, disorientation |
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Term
| What are the four steps of prevention of syncope |
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Definition
| confidence, medical history, calm patient, watch for signs and symptoms |
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Term
| Five steps in syncope managment? |
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Definition
| trendelenburg, BLS & ABCs, oxygen, ammonia inhalent, watch for patient to regain consciousness |
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Term
| what are the steps to follow after syncope occurs? |
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Definition
| have the patient be driven home, follow up phone call, consider anti-anxiety meds for next visit |
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Term
| what are precautions to be taken if a patient has taken an antianxiety med? |
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Definition
| patient driven to and from, refrain from making personal and business decisions, do not operated heavy machinery, physician clearnance |
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Term
| what causes hyperventilation? |
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Definition
| an imbalance of CO2 and O2. Too much oxygen to little CO2 |
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Term
| name some symptoms of hyperventilation? |
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Definition
| increased respirations- panic attach, nausea, light headed, dizzy, altered consciousness, numbness of face or tetany of the fingers, tembling, sweating, heart palpitations, chest discomfort |
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Term
| What can you do to prevent hyperventilation? |
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Definition
| talk to patient, confidence, offer pain control options, anti-anxiety meds |
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Term
| how do u manage hyperventilation? |
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Definition
| place patient in upright position, have patient slow breathing, use hands or a paper bag, monitor vitals, and document the situation |
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Term
| What is an ASA I patient? |
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Definition
| a healthy patient without systemic disease |
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Term
| what is an ASA II patient? |
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Definition
| a person with a mild systemic disease, should be cautious |
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Term
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Definition
| a patient that has a sever systemic disease that limits their activity, appointment time should be shorter |
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Term
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Definition
| a person that has an incopacitated disease that with a constant threat to live |
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Term
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Definition
| emergency operation that can be in any category |
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Term
| What are the three follow up questions |
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Definition
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Term
| what should you ask the questions about? |
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Definition
| pathophsiology of the disease, potential risks for medical emergency from disease, clinical managment of disease, strategies for resolving the potential risk and emergency prevention |
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Term
| What is systolic pressure? |
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Definition
| heart muscle contracted forcing blood flow into circulation |
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Term
| what is diastolic pressure? |
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Definition
| arterial pressure between heart beats when heart muscle rests |
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Term
| what are the diseases associated with hypertension? |
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Definition
| stroke, myocardial infarction, heart failure or congestive heart failure, kidney complications, hyperthyroidism, diabetes |
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Term
| what is the maximum amount of epinephrine that can be used for B/P |
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Definition
| 1:100,000, no more than 3 cartridges |
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Term
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Definition
| a common sign preceding cardiac arrest |
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Term
| what does a fast irregular pulse indicate? |
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Definition
| cardiovascular instability |
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Term
| t/f increased respirations = increased stress level |
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Definition
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