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34 Cards in this Set

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what helps reduce incidence and severity of bacteremias produced?
preprocedural rinsing
There are several systems for obtaining the history, name them.
1. telephone screening (detemine premed)
2. brief history (form or interview for emergency care)
3. self-history (mailed to patients home)
4. complete history (initial visit- combination of interview and question)
name 5 advantages of the questionnaire
saves time, consistent, time to think about answers, may write what won't say, legal document
What should the treatment document contain?
specific treatment provided by date, treament outcomes, referrals, recommendations and future plans.
ASA V
Moribund, not expected to survive 24 hours
Explain some of the limitations of the health history
Comprehension, privacy where filled out, patient not understanding importance of info given, embarresment, fear of refusal of treatment
name two disadvantages of the questionnaire.
impersonal and inflexible
why must the history always be in ink?
The health history is a legal document.
ASA II
mild systemic disease
name some purposes for the history of the patient
to estabish a care plan, identify precautions before treatment, identify undiagnosed conditions, aids in prognosis of care plan, insight into personal attitudes about treatment (if appts. are kept), document records and provide baseline,and to furnish evidence in legal matters
what is the name of the scale developed by the anesthesiologist association
the ASA physical status classification system, an overall estimate of medical risk of a patient
Name the three types of medical histories.
interview, questionaire, and combination.
ASA I?
healthy
Name some of the requirements for the records forms.
Basic ADA form, adequate form (it must be in a logical sequence, info at a quick glance, ample space),supplementary form (smoker)
patients at risk for infective endocarditis must have antibiotic premedication prior to any tissue manipulation that could create bacteremia. what should you ask the patient?
do you have a prescription? did you take your prescription?
there should be coverage 1 hour before the treatment. you must prescribe different antibiotics if already taking an antibiotic for something else
Name 7 important documents that should be contained in the dental record.
1. demographic and insurance info.
2. Assesment data
3. diagnosis(treatment needs)
4. treatment plan and record of informed consent
5. treatment
6. correspondence
7. financial record
what if there is an emergency and you don't know if there is regurgitation?
You must pre-med
What does the assesment data contain?
medical history, dental history to include: significant past experiences, chief complaint, any anxieties about dentistry, and plaque and self-care practices. Any type of test results, abnormal findings from extra/intraoral exam, dental and periodontal chart, and radiographs and photographs
why should the periodontium be healthy especially when undergoing total joint replacement.
the risk of endocarditis is higher when infection is pesent in the mouth
why is an introduction to the patient important?
the patient needs to be imformed of te link between dental health and overall physical health, a signature of a responsible adult is neccesary on record
statement!!!
medical evaluatio is needed to confirm if there is mitral regurgitation and therefore a need for premedication
whar do positive findings on a questionnaire need?
they need a follow-up
The questionnaire must ask three types of questions in order to be essential, what are they?
system oriented(digestive)
disease oriented(asthma)
symptom oriented
name some dental procedures where premed is not necessary
restorative dentistry, local anesthetic injections, endo post and core build-up, post surgical suture removed, placement of rubber dam, impressions, flouride, x-rays, ortho adjustment
The health status must include.....
existing and previous conditions including chief complaint.
history of present illness
history of past illnesses
ASA E
emergency of any variety
what type of pateints might require premedication?
immunocompromised
uncontrolled diabetes
facial injuries
renal disorders
valvular dysfunction
shunt
name some dental procedures in which antibiotic prophylaxis is recommended
extractions, periodontal procedures, implant placement, endo at the apex, subgingival antimicrobials, ortho band placement, intraligmentary anesthetic, cleaning implants where bleeding expected
what do you do if you don't know if there is regurgitation?
refer to evaluation.
Does having pins, plates, and screws require pre-med?
No, they do not
How many years following the surgery is critical for hematogeneous seeding?
two years
ASA IV
incapacitating systemic disease, constant threat to life
what does the interview entail?
flexible and personable, good communication skills, relationship building, time consuming, potential for being embarresed
ASA III
severe systemic disease, not incapacitating