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When are patients placed in a supine position?
- Position used most for treatment procedures.
- In a supine or flat position, the brain is on the same level as the heart.
- Patient is ideally situated for support of the circulation; rarely could a patient faint while lying in a supine position.
- The back of the chair is parallel to the floor.
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What is the Trendelenburg position?
- The patient is in the supine position and tipped back and down 10° to 15° so that the brain is lower than the heart.
- The back of the chair is less than parallel to the floor.
- the patient is in the supine position and tipped back and down 35 degrees to 45 degrees so that the heart is higher than the head.
- This is an emergency position used when the patient is approaching syncope.
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What is proper position for the clinician with the patient in supine position
neutral siting position
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Blood Pressure
Hypotension?
- <90/<60
- Observe for possible light-headedness and syncope. If persistent, referral for evaluation is indicated.
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Blood Pressure
Normal
- <120/<80
- Proceed as planned
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Blood Pressure
Prehypertension
- 120-139/80-89
- Retake after 5 min. If still elevated, inform patient of prehypertension status. Recommend physician consult and encourage life style modifications.
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Blood Pressure
Hypertension Stage 1
- 140-159/90-99
- Retake after 5min. If still elevated inform patient of elevated blood pressure. Refer for physician consult. Employ stress reduction to routine dental treatment. Modify local anesthetic to 1:100,000 vasoconstrictor.
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Blood Pressure
Hypertension Stage 2
- >160/>100
- Retake after 5min. If still elevated, inform patient of elevated blood pressure. Refer for urgent physician assessment. Delay dental treatment until hypertension is controlled.
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_____ is unusually slow heartbeat evidence by slowing of the pulse rate.
bradycardia
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___ is higher-than-normal body temperature.
Hyperthermia
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____ is an abnormal elevation of the body temperature above 37.0°C(97.6°F).
Pyrexia
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___ is unusually fast heartbeat ; at a rate greater than 100 BPM.
Tachycardia
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_____ is listening for sounds produced within the body; may be performed directly or with stethoscope.
Auscultation
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_____inner fold of the upper arm. (used for infant pulse)
Brachial artery
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____inner surface of wrist
Radial artery
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______alongside the larynx (pulse used during cardiopulmonary resuscitation for an adult)
carotid artery
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_____ the main blood vessel, with oxygenated blood
ulnar artery
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