Preclinic Chapter 6

Front 1

what helps reduce incidence and severity of bacteremias produced?

Back 1

preprocedural rinsing

Front 2

There are several systems for obtaining the history, name them.

Back 2

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)

Front 3

name 5 advantages of the questionnaire

Back 3

saves time, consistent, time to think about answers, may write what won't say, legal document

Front 4

What should the treatment document contain?

Back 4

specific treatment provided by date, treament outcomes, referrals, recommendations and future plans.

Front 5

ASA V

Back 5

Moribund, not expected to survive 24 hours

Front 6

Explain some of the limitations of the health history

Back 6

Comprehension, privacy where filled out, patient not understanding importance of info given, embarresment, fear of refusal of treatment

Front 7

name two disadvantages of the questionnaire.

Back 7

impersonal and inflexible

Front 8

why must the history always be in ink?

Back 8

The health history is a legal document.

Front 9

ASA II

Back 9

mild systemic disease

Front 10

name some purposes for the history of the patient

Back 10

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

Front 11

what is the name of the scale developed by the anesthesiologist association

Back 11

the ASA physical status classification system, an overall estimate of medical risk of a patient

Front 12

Name the three types of medical histories.

Back 12

interview, questionaire, and combination.

Front 13

ASA I?

Back 13

healthy

Front 14

Name some of the requirements for the records forms.

Back 14

Basic ADA form, adequate form (it must be in a logical sequence, info at a quick glance, ample space),supplementary form (smoker)

Front 15

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?

Back 15

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

Front 16

Name 7 important documents that should be contained in the dental record.

Back 16

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

Front 17

what if there is an emergency and you don't know if there is regurgitation?

Back 17

You must pre-med

Front 18

What does the assesment data contain?

Back 18

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

Front 19

why should the periodontium be healthy especially when undergoing total joint replacement.

Back 19

the risk of endocarditis is higher when infection is pesent in the mouth

Front 20

why is an introduction to the patient important?

Back 20

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

Front 21

statement!!!

Back 21

medical evaluatio is needed to confirm if there is mitral regurgitation and therefore a need for premedication

Front 22

whar do positive findings on a questionnaire need?

Back 22

they need a follow-up

Front 23

The questionnaire must ask three types of questions in order to be essential, what are they?

Back 23

system oriented(digestive)
disease oriented(asthma)
symptom oriented

Front 24

name some dental procedures where premed is not necessary

Back 24

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

Front 25

The health status must include.....

Back 25

existing and previous conditions including chief complaint.
history of present illness
history of past illnesses

Front 26

ASA E

Back 26

emergency of any variety

Front 27

what type of pateints might require premedication?

Back 27

immunocompromised
uncontrolled diabetes
facial injuries
renal disorders
valvular dysfunction
shunt

Front 28

name some dental procedures in which antibiotic prophylaxis is recommended

Back 28

extractions, periodontal procedures, implant placement, endo at the apex, subgingival antimicrobials, ortho band placement, intraligmentary anesthetic, cleaning implants where bleeding expected

Front 29

what do you do if you don't know if there is regurgitation?

Back 29

refer to evaluation.

Front 30

Does having pins, plates, and screws require pre-med?

Back 30

No, they do not

Front 31

How many years following the surgery is critical for hematogeneous seeding?

Back 31

two years

Front 32

ASA IV

Back 32

incapacitating systemic disease, constant threat to life

Front 33

what does the interview entail?

Back 33

flexible and personable, good communication skills, relationship building, time consuming, potential for being embarresed

Front 34

ASA III

Back 34

severe systemic disease, not incapacitating