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18 Cards in this Set
- Front
- Back
copd
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asthma/emphazema/bronchitis
sit patient upright no rubber dam no n2o avoid barbiturates, narcotics, anti histamines avoid erythromycin, clarithromycin if patient takes theophyline |
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asthma
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make sure pt has inhaler
avoid aspirin, avoid sulfite containing local can use n2o or diazepam use pulse oxometer if necessery |
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tuberculosis
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active- consult with physician before treatment, only emergencies
inactive-treat as normal patient may be taking isoniazid for 6 months to a year prophylactically |
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viral hepatitis (bcde)
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active- consult with physician, emergency only
inactive- treat as normal |
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hyperthyroidism
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avoid eli and other vasoconstrictors in untreated patients
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hemodialysis
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wait at least 4 hours after dialysis, should wait till next day
pre-treatment screen for bleeding disorders avoid drugs metabolized by kidneys avoid bp cuff on arm containing shunt no routine dental care contraindications |
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end stage renal disease
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consult with dr for hematologic disorders
check bp before and during and treatment avoid drugs excreted by kidney or nephrotoxic drugs extensive reconstructive crown and bridge not recommended |
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seizure
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get bleeding time for patines on valproic acid
no aspirin or nsaids no propoxyphene and erythromycin for paints taking carbamazepine use bite block use metal instead of porcelain |
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what to expect with radiation patients
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mucositis, zerostomia, taste loss, trismus, candidiasis, secondary infections, cervical caries, osteoradionecrosis
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head and neck radiation
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have patient come every 3-4 months, use flu ride, and chi for plaque and candidiasis control
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chemotherapy patients
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eliminate all oral infections and treat advanced caries
use topical fluoride and chi rx rinses for mucositis and xerostomia |
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blood pressure numbers
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normal <120 and <80
pre-hypertensive 120-139 or 80-89 stage 1 140-159 or 90-99 stage 2 >160 or >100 |
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hypertension
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send for medical eval if 180/110 before treatment
avoid orthostatic hypotension (change chair position slowly) use minimal epi, no cord with eli caution using eli with patients taking non selective beta blockers reduce dosage of barbiturates/sedatives whose action can be enhanced by anti-hypertensive agents |
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stroke history
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no elective care for current transiend ischemic attacks-delay treatment for 6 months
consider panorex periodically to assess carotid artery patency short morning appts no epi in retraction cord |
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hemophilia
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prolonged bleeding
no dental procedures until cleared with physician |
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von willebrands disease
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avoid aspirin nsaids
can use tylenol with codeine or cox 2 inhibitors )celecoxib, rofecoxib) screen prolonged bleeding time pfa=100 or prolonged partial thromboplastin time |
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anti coagulation
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no dental procedures until medical consult done
check pt time may have to delay procedure 2-3 days if anti coagulation meds have to be reduced |
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acceptable prothrombin time
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pt 2.5 or less, or int is 3.5 or less
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