seminar
Terms
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- ASA I
- patient w/out apparent systemic disease: normal healthy patient
- most common place for determining pulse rate
- radial-wrist
- standard general prophylaxis
- amoxicillin 2g orally 30-60 min before procedure
- prophylaxis for dental and dental hygiene procedures:
- the incidense and extent of a bacteremia is directly proportional to the degree of infection and inflamationin the tissues as well as the trauma produced by the clinical procedure
- brief history
- brief history of vital items is obtained during an initial emergency visit, more complete history is obtained at the succeding apt
- bacteremia
- presence of microorganisms in the bloodstream
- normal pulse rate
- 60-100 bmp
- systolic pressure
- peak or highest pressure, caused by ventricular contraction, normal is less than 120
- patients at risk for endocarditis must
- have a antibiotic premedication prior to any tissue manipulation that could create a bacteremia
- unable to take oral med
- ampicillin or cefazoiln or celtriaxone
- bradycardia
- slow heartbeat below 50 bmp
- diastolic pressure
- lowest pressure, caused by ventricular relaxation, normal is less than 80
- procedures in which prophylaxis is recomended
- manipulation of gingival tissue, periapical region of teeth,perforation of the oral mucosa
- respiratation
- one breath taken in and let out
- hyperthermia
- 105.8 and above
- we will not see anyone who's bood pressure is above
- 180/110
- allergic to penicillins or ampicillin-oral
- cephalexin or clindamycin or azithromycin or clarithromycin
- hypothermia
- below 96
- fever
- over 99.5
- ASA IV
- patient with incapapacitating systemic that is a constent threat to life
- ASA III
- patient with severe systemic disease that limits activity but is not incapacitating
- pulse pressure
- difference between systolic and diastolic pressures, normal is less than 40
- normal respiratory rate
- 14-20
- ASA V
- morbid patient not expected to survive 24 hrs w/out care
- ASA
- american society of anesthesiologists
- infective endocarditis
- microbial infection of the heart valves or endocardium, a bacteremia is necessary for the development of infective endocarditis
- self history
- can be prepared at home
- general methods for obtaining oral health history
- interview, questionnaire, combo of the two
- conditions that require premedication prior to dental treatment
- prosthetic cardiac valve, previous endocarditis, cardiac transplantation recipients w/cardiac valvular disease, repaired congenital heart disease w/defects at site of by prosthetic device, completely repaired congenital heart disease w/prosthestic device during 1st 6 mo, and unrepaired congenital heart disease
- allergic to penicillins and unable to take oral meds
- injections-cefazolin or ceftriaxones or clindamycin
- trachycardia
- fast heartbeat over 100 bmp
- complete history
- made at initial visit, combo of interview and questionaire, at successive apt the comple history is reviewed
- ASA II
- patient with mild systemic disease (pregnant or diabetes under control)