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34 Cards in this Set
- Front
- Back
what helps reduce incidence and severity of bacteremias produced?
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preprocedural rinsing
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There are several systems for obtaining the history, name them.
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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) |
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name 5 advantages of the questionnaire
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saves time, consistent, time to think about answers, may write what won't say, legal document
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What should the treatment document contain?
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specific treatment provided by date, treament outcomes, referrals, recommendations and future plans.
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ASA V
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Moribund, not expected to survive 24 hours
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Explain some of the limitations of the health history
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Comprehension, privacy where filled out, patient not understanding importance of info given, embarresment, fear of refusal of treatment
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name two disadvantages of the questionnaire.
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impersonal and inflexible
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why must the history always be in ink?
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The health history is a legal document.
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ASA II
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mild systemic disease
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name some purposes for the history of the patient
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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
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what is the name of the scale developed by the anesthesiologist association
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the ASA physical status classification system, an overall estimate of medical risk of a patient
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Name the three types of medical histories.
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interview, questionaire, and combination.
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ASA I?
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healthy
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Name some of the requirements for the records forms.
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Basic ADA form, adequate form (it must be in a logical sequence, info at a quick glance, ample space),supplementary form (smoker)
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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?
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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 |
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Name 7 important documents that should be contained in the dental record.
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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 |
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what if there is an emergency and you don't know if there is regurgitation?
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You must pre-med
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What does the assesment data contain?
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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
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why should the periodontium be healthy especially when undergoing total joint replacement.
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the risk of endocarditis is higher when infection is pesent in the mouth
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why is an introduction to the patient important?
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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
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statement!!!
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medical evaluatio is needed to confirm if there is mitral regurgitation and therefore a need for premedication
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whar do positive findings on a questionnaire need?
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they need a follow-up
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The questionnaire must ask three types of questions in order to be essential, what are they?
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system oriented(digestive)
disease oriented(asthma) symptom oriented |
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name some dental procedures where premed is not necessary
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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
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The health status must include.....
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existing and previous conditions including chief complaint.
history of present illness history of past illnesses |
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ASA E
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emergency of any variety
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what type of pateints might require premedication?
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immunocompromised
uncontrolled diabetes facial injuries renal disorders valvular dysfunction shunt |
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name some dental procedures in which antibiotic prophylaxis is recommended
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extractions, periodontal procedures, implant placement, endo at the apex, subgingival antimicrobials, ortho band placement, intraligmentary anesthetic, cleaning implants where bleeding expected
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what do you do if you don't know if there is regurgitation?
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refer to evaluation.
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Does having pins, plates, and screws require pre-med?
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No, they do not
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How many years following the surgery is critical for hematogeneous seeding?
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two years
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ASA IV
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incapacitating systemic disease, constant threat to life
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what does the interview entail?
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flexible and personable, good communication skills, relationship building, time consuming, potential for being embarresed
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ASA III
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severe systemic disease, not incapacitating
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