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Hygiene Sem 1 > Clinic Theory Week 10 > Flashcards

Clinic Theory Week 10 Flashcards

1
Q

Temperature assessment

A

Measurement of the degree of heat in a body measured with a thermometer

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2
Q

When should an oral temp not be taken

A

Pt recently had oral surgery
Pt is under 5 (might bite)
Pt is confused or sedated

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3
Q

Anything hot or cold to drink within the last 30 minutes affects

A

Pts temperature

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4
Q

Placing thermometer intraorally

A

Ask client to open and raise tongue
Place bulb of thermometer on heat pocket
Rest stem on anterior teeth in opposing arch

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5
Q

Average normal oral temperature

A

37°

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6
Q

Pyrexia aka

A

Fever

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7
Q

Any reading above ___ is considered a fever (pyrexia)

A

37.6°

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8
Q

Variables affecting temperature

A

Time of day (lowest in am)
Exercise
Age (if 70+ avg temp 36°)
Environment
Stress
Smoking
Hot/cold liquids
Hormones
Infection

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9
Q

A temperature above 101F or 38.3C usually indicates

A

Active disease process

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10
Q

A temperature above 105.8F or 41C is considered a

A

Medical emergency

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11
Q

Pulse rate is an indication of

A

An individuals heart rate

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12
Q

Normal adult pulse rate is between

A

60 and 100 beats per minute

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13
Q

Ages 2-6 have a higher approximate range of pulse than adults

A

True (2-6 yrs=75-120)

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14
Q

Who tend to have a slower pulses at rest

A

Athletes

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15
Q

Increased pulse rate can be a normal response to

A

Stress
Exercise
Pain

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16
Q

Factors affecting pulse rate

A

Age
Medication
Stress
Exercise

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17
Q

Most common pulse point used in dental assessments is over the

A

Radial artery in the wrist

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18
Q

Brachial artery

A

Main artery of upper arm
(Divides into the radial and ulnar arteries at the elbow)

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19
Q

Radial artery

A

Begins below the elbow and extends down the forearm on the thumb side of the wrist onto the hand

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20
Q

Normal amplitude refers to

A

Full, strong pulse that is easily felt

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21
Q

Regularly irregular refers to

A

Regular pattern overall with “skipped” beats

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22
Q

Irregularly irregular refers to

A

No real patter, difficult to measure accurately

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23
Q

To assess amplitude of pulse use a numerical scale to characterize its strength

A

0- absent no pulse
1- weak/thready pulse hard to feel
2- normal pulse easily felt
3 bounding, forceful that is readily felt

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24
Q

Palpating for pulse

A

Use finger pads of your first 3 index fingers
Apply only enough pressure so that the radial artery can be felt

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25
Q

What finger should not be used due to having its own pulse

A

Thumb

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26
Q

You should not tell patient when you are taking this vital

A

Respiration
(They may change breathing pattern if they are aware it is being assessed)

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27
Q

Normal breathing allows a person to inhale and exhale how much air (ml)

A

500mL of air

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28
Q

Children use their diaphragms when breathing so watch their

A

Abdomen (as opposed to chest)

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29
Q

Normal respiration for an adult is between

A

12-20 breaths per minute

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30
Q

Some Variables that contribute to respiratory rate

A

Excitement
Exercise
Pain
Fever
Age
Medication
Gender
Body position
Stress

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31
Q

Breathing is an unconscious function; can be brought under bolstering control by

A

Holding breath
Panting
Singing
Sighing

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32
Q

Ages 3-6 years take more breaths per minute than adults

A

True (22-34 breaths per minute)

33
Q

Evaluation of respiration

A

Rhythm (regularity)
Ease (laboured painful?)
Depth (deep/shallow)
Noise (wheezing/gurgling)
Abnormal odor (fruity/alcohol)

34
Q

Systolic pressure refers to

A

Top reading of blood pressure (first sound)
Pressure created against the vessel walls when the heart beats

35
Q

Diastolic pressure refers to

A

Bottom reading, second sound
Pressure between heart beats when the heart relaxes

36
Q

Systolic pressure should be less than

A

130mm Hg

37
Q

Diastolic pressure should be less than

A

85mm Hg

38
Q

Hypertension is what?

A

Abnormally high blood pressure

39
Q

Does high blood pressure have symptoms?
High blood pressure reading is above

A

No- referred to as silent killer
Above 135/85

40
Q

Hypotension is

A

Abnormally low blood pressure

41
Q

Dangers/risks of high blood pressure

A

Stroke, heart attack, seizure, heart failure, kidney failure

42
Q

Recommended lifestyle changes for high blood pressure

A

Reduce salt
Prescribed medication
Exercise
Stress reduction
Lose weight

43
Q

Blood pressure equipment

A

Sphygmomanometer
Consists of a cuff, bulb and manometer
Need a stethoscope

44
Q

Kortokoff sounds refers to

A

Series of sounds heard as the pressure in BP cuff is released

45
Q

Ausculation is the act of

A

Listening for sounds in the body with a stethoscope

46
Q

Influences of blood pressure

A

Age, race, body position, respiration, emotion, temperature, anxiety, exercise, alcohol, tobacco

47
Q

White coat hypertension

A

Dental or medical anxiety causes blood pressure to rise

48
Q

If patient experiences white coat hypertension, in order to obtain accurate readings have the pt

A

Relax in a quiet room for a short time before assessing blood pressure

49
Q

Normal bp if the client has no history of other risk factors is

A

130/85

50
Q

Normal bp if the client has history of other risk factors is less that

A

130/80

51
Q

Four of the most critical technique elements for accurate blood pressure determination

A

Cuff size
Cuff placement
Position of clients arm
Obtaining a palpating estimate of the blood pressure

52
Q

Bladder length in reference to blood pressure cuff: too short causes

A

Falsely high readings

53
Q

Cuff placement landmark

A

Antecubital fossa
Lower edge should be 1-2 inches above the fossa
Fossa should be at the clients heart level

54
Q

Arm position in reference to blood pressure: antecubital fossa too low causes

A

False high readings

55
Q

Blood glucose levels for diabetic client

A

3.9mmol/L-11.1mmol/L

56
Q

If blood glucose reading is lower than 3.9mmol/L pt is

A

Hypoglycemic (blood sugar too low)

57
Q

If BGL higher than 11.1mmol/L your pt is

A

Hyperglycaemic

58
Q

Purpose of health history

A

Document/obtain baseline info
Identify risk factors

59
Q

Health status is

A

Dynamic

60
Q

Health history form is

A

Confidential and protected by law

61
Q

What are the vital signs

A

Temperature
Pulse rate
Respiration rate
Blood pressure

62
Q

Tachycardia

A

Above 100 beats per minute
Abnormally elevated heart rate

63
Q

Bradycardia

A

Below 60 beats per minute
Abnormally slow heart rate

64
Q

PVC’s- premature ventricular contractions are common and can be caused by

A

Smoking fatigue alcohol caffeine stress and certain medications

65
Q

Pulsus alter and may indicate
(Hint alternating strong and weak pulses)

A

Ventricular failure

66
Q

Tachypnea

A

Rapid breathing (over 20RPM)

67
Q

Bradypnea

A

Slow breathing
Can occur with diabetic coma

68
Q

Chronic hypertension causes thickening

A

And loss of elasticity in arterial wall

69
Q

At TCDHA what pages have the medical condition written on the sticker

A

Personal info page
Medical update page
Record of care page

70
Q

4 step treatment approach- RAME

A

R- recognition of disease
A- assessment of risk
M-management for safety
E-emergency care

71
Q

Unresponsiveness (unconsciousness) requires

A

Immediate basic life saving support steps to be implemented

72
Q

CPR: what does CAB stand for

A

Compressions
Airway
Breathing

73
Q

Partial airway obstruction: pt is

A

Making noises or coughing noises

74
Q

Anaphylaxis is generalized most threatening allergic reaction; affects can be seen

A

Skin, smooth muscle, respiratory and cardiovascular system

75
Q

Anaphylactic shock occurs when consciousness is lost as a result of

A

Hypotension from anaphylactic reaction

76
Q

Chest pain caused by temporary myocardial schemas without damage to heart muscle

A

Angina pectoris

77
Q

Cerebrovascular accident is known as

A

Stroke

78
Q

Syncope

A

Fainting

Hygiene Sem 1 (22 decks)

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