ORAL SURGERY OSCE Flashcards

1
Q

why might post-operative instructions NOT be given to patients?

A
  • time pressures (next appt./running late)
  • the operator is tired and stressed after the procedure
  • patient may be stressed and just wants to leave
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2
Q

what are the four main areas to cover when giving post-operative instructions?

A
  • expect pain and how to manage it
  • how to avoid/deal with bleeding
  • things that may help/delay healing
  • any post operative symptoms to expect
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3
Q

what is Analgesia medication?

A

medication that relieves pain

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4
Q

what is the best drug for dentoalveolar pain?

A

NSAID - ibuprofen

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5
Q

what is the most common NSAID prescribed?

A

ibuprofen

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6
Q

what are 7 reasons a patient should NOT be prescribed NSAIDs?

A
  • peptic ulceration/GORD
  • the elderly
  • pregnancy & lactation
  • renal, cardiac or hepatic impairment
  • history of NSAID hypersensitivity
  • asthma
  • on long term steroids or already taking a NSAID
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7
Q

when prescribing ibuprofen, what is the recommended dosage for dental pain?

A

There are 200mg, 400mg or 600mg tablets

  • in dentistry commonly 200mg or 400mg tablets are prescribed
  • the range is normally 1.2g-1.8g daily taken in 3-4 doses
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8
Q

what is the maximum dosage of ibuprofen that can be prescribed (in a day)?

A

2.4g of ibuprofen in 24 hours

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9
Q

why is paracetamol sometimes a problematic drug to prescribe?

A

It can easily be overdosed on:

- can result in hepatic and renal impairment

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10
Q

If paracetamol is prescribed for dental pain, what dosage is prescribed?

A

500 mg tablets

- advised to take 1/2 tablets every 4-6 hours

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11
Q

What medications are present in co-codamol?

A

Paracetamol and codeine

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12
Q

Should there be a change to the patients diet after undergoing dental surgery?

A
  • hot and hard foods should be avoided (numb mouth may get burnt on hot food)
  • hot food causes vasodilation which encourages bleeding
  • hard foods may traumatise socket
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