-
4 indications for laboratory tests include the following: (give examples for each)
1. detection of susptected disease
2. screening high risk pts for suspected disease
3. establishing normal baseline values before treatment
4. addressing medicolegal considerations
- 1. diabetes, infection, bleeding disorders
- 2. diabetes, AIDS
- 3. anticoagulant status, white blood cells, platelets
- 4. possible bleeding disorders, hepatitis B infection
-
What are 2 methods of physician referral and consultation and their advantages?
- phone consultation: obtain immediate information and ask follow up questions
- letter or fax requests: provides a written statement of the physician's reply
-
What items make up the patients health data that you must have before you assess it? (4)
- history
- clinical examination
- laboratory test results
- consultations
-
What is a widely used method of expressing medical risk?
ASA physical classification system
-
Which ASA class is a normal healthy pt?
ASA I
-
Which ASA class is a pt with mild systemic disease that does not interfere with daily activity, or pt with a significant health risk factor (e.g. smoking, alcohol abuse, gross obesity)
ASA II
-
Which ASA class is a pt with moderate to sever systemic disease that is not incapacitating but that may alter daily activity?
ASA III
-
Which ASA class is a pt with severe systemic disease that is incompacitating and is a constant threat to life?
ASA IV
-
List the 4 'A's' of the ABC's of risk assessment
- antibiotics
- anesthesia
- anxiety
- allergy
-
What is the 'B' of the ABC's of risk assessment?
bleeding
-
What is the 'C' in the ABC's of risk assessment?
chair position
-
What are the 2 'D's' of the ABC's of risk assessment?
-
What are the 2 'E's' of the ABC's of risk assessment?
-
What are the 3 different treatment modifications that may need to be made after risk assessment?
- preoperative
- intraoperative
- postoperative
-
prophylactic antibiotics given prior to certain dental procedures in a pt at risk for bacterial endocarditis
determination of the INR prior to surgery in a pt taking coumadin
ensuring food intake prior to treatment in a diabetic pt on insulin
prescribing an anxiolytic drug for an anxious pt with stable angina
Are all examples of what kind of treatment modification?
preoperative
-
limiting the amount of vasoconstrictor in a pt who takes a nonselective beta blocker
administering nitrous to an anxious pt with poorly controlled hypertension
using an upright chair position for a pt with heart failure
avoiding the use of electrosurgery in a pt with a pace maker
avoiding elective radiographs in a pregnant pt
Are all examples of what kind of treatment modification?
intraoperative
-
use of extra local measures for hemostasis in a pt taking coumadin
prescribing antibiotics for a poorly controlled diabetic following surgery
prescribing adequate post-operative analgesia for a pt on chronic steroids
Are all examples of what kind of treatment modification?
postoperative
-
What might stress and anxiety do for a pt who is medically compromised?
reduce the risk of an emergency
-
What are 4 stress reduction tactics that can be used prior to treatment?
- establish good rapport and trust
- explain treatment to be administered
- short morning appointments
- oral premed with sedative
-
What are 5 stress and anxiety reduction tactics that are used during injections?
- avoid pain
- keep needle and syrince out of sight
- take your time
- allow adequate time for anesthesia to take effect
- use profound anesthesia initially
-
What are 3 stress and anxiety reduction tactics that can be used at the end of the appointment?
- prescribe appropriate analgesia
- post op instructions
- post treatment phone call
-
** Missed on Quiz. What is a factor in determining the severity of the appointment along with the invasiveness and length of appointment?
blood loss
-
**Missed on Quiz. What is a way to prevent patients from coming to appointments and not being aware of medical conditions?
Screening phone calls
|
|
