20. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
What are follow up questions
that a Dental hygienist
should as a patient with
Angina Pectoris? (List 3)
21. Cheer SilenceLoseTimer BooTheme
What usually causes your angina
episode?
How often does angina occur?
How long does it last?
Do you use nitroglycerin to manage
the pain?
Have you ever needed to call for
emergency assistance because of
angina?
Have you ever had a heart attack?
23. Cheer SilenceLoseTimer BooTheme
Nitroglycerin
(NTG)
Review:
Dental patients must bring their immediate released NTG
(sublingual) to the dental office at their appointment
Patient to be seated before taking NTG
Analgesics for HA must be available
NTG to be stored properly (far from heat or moist) at
dental office
Watch the expiration date
27. Cheer SilenceLoseTimer BooTheme
- Stress reduction protocol and short
appointments
- Cardiac dose of LA with vasoconstrictor
- Precaution should be used when using LA with
a vasoconstrictor in clients taking nonspecific
B-blocker drugs (i.e. propranolol)
- Have vasodilator (nitroglycerin) available
check expiration date (should be less than 6
months)
- No more than 3 tablets in 10 minutes (only
administer if pt’s prescription and systolic BP
is > 100)
- If no relief from pain after 2 tablets, notify EMS
29. Cheer SilenceLoseTimer BooTheme
- Pain that may radiate to arm
and shoulder, neck or
mandible (more likely left side
but can be either)
- Sweating
- Faintness
- Anxiety
- Pallor
- Difficulty breathing
31. Cheer SilenceLoseTimer BooTheme
Prevent blood
clots.
Review:
Keep existing clots from getting
larger but does NOT break them.
Commonly taken by patient with
TJR, Post- MI, and ESRD
Patients.
39. Cheer SilenceLoseTimer BooTheme
Interaction with
Cranberries & Green
vegetables. Also foods
with that are rich in
Vitamin K.
Review:
Vitamin K can is an Antidote for
Warfarin.
44. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
What is an emergency
that the dental
hygienist should be
ready for when treating
patient with Diabetes?
45. Cheer SilenceLoseTimer BooTheme
The patient may
become
hypoglycemic.
Review:
A sugar source should be within
reach when treating a diabetic
patient due to this emergency.
48. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
What are the A1C levels for
normal, well controlled
diabetes, moderately
controlled diabetes, and
poorly controlled and prone
to complications?
49. Cheer SilenceLoseTimer BooTheme
NORMAL range: 4-6%
Well controlled diabetic: <7%
Moderately controlled diabetic:
7.5-8.5%
Poorly controlled and prone to
complications: >8.5%
51. Cheer SilenceLoseTimer BooTheme
Induction treatment
– Eradicates cancer cells
Consolidation treatment
– Given post remission to eradicate
any remaining cancer cells
Maintenance treatment
– Prevent from recurrence
52. Cheer SilenceLoseTimer BooTheme
Start Timer
GO TO
ANSWER
(question)
What are some
common oral
complication for
patient receiving
Chemotherapy or
Radiation?
55. Cheer SilenceLoseTimer BooTheme
•Does your oncologist know you are here today?
•Did you have lab work done before this
appointment? What is your ANC?
•What type of cancer do you have and what area of
the body is affected?
•May I have permission to contact your oncologist
about your treatment?
•When did/will your oncology treatment start?
•What type of treatments are you receiving?
•Has your MD given you any instructions related to
having oral health treatment?
65. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
What class of antibiotics
should not be used if the
patient has a history of
anaphylaxis, angioedema,
or urticaria with penicillin
or ampicillin?
67. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
Patient A is taking
Azithromycin for an sinus
infection, and has previous
history of prosthetic cardiac
valve. The patient is coming
in for a surgical extraction of
#19. Is antibiotic pre-
medication required? If yes,
what antibiotic and dosage?
69. Cheer SilenceLoseTimer BooTheme
Start Timer
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ANSWER
(question)
Patient B had an appointment for
2 quadrants of scaling and root
planning and will have all lower
teeth extracted later the same
day. Patient B is antibiotic Pre-
medicated prior the scaling
appointment. At which point will
the patient need to take a full
dose of antibiotic again?
73. Cheer SilenceLoseTimer BooTheme
•Question the patient regarding ANY changes in
their HHx--even if the patient was recently in the
office:
1.)Have you seen a physician since the last visit
(record date!)?
New illness or been seen in the ED?
Been hospitalized or recent surgery?
2.) Question regarding medication and OTC
drugs/supplement changes
What are you taking? Why are you taking them? How
much (dosage)?
Question when they took their meds: do they take
them regularly AND did they take them today?
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